The following forms can be printed off and mailed
or e-mailed to us
at: Steveh@naops.org Complete only those forms relevant to your participation. Thanks!
Acquire
the Recovery Fire!
3rd Annual National Peer Specialist Conference Registration
August 26-28, 2009
Phoenix, Arizona
Hyatt
Phoenix
To
register, complete this form, including payment information. Please complete a separate registration form for each attendee.
The National Association of Peer Specialists is NOT responsible for lodging, transportation or other costs. Participants must
make those arrangements themselves and are responsible for those costs. The conference registration fee covers conference
workshops, plenary sessions, refreshment breaks and breakfasts. The pre-conference events are listed separately and not included
in the general registration fee.
Name
Telephone #
Street Address or P.O. Box
City
State
Zip
E-Mail Address (if available)
Special Needs (please indicate)
Please circle applicable selections
| Full Conference(2 ½ days) Early Bird (before July 15, 2009) | Full Conference After July 15 | One day attendance | Laughter and RecoveryPre-conference
Institute(Tues.-Aug. 25) | Annual NAPS Membership | Total |
| $200—member | $275-member | $150 member | $75-member | $10 | |
| $225-non-member | $300-non-member | $175 non-member | $90-non-member | | |
Note: You may join NAPS now and receive the conference registration discounts.
The advanced peer-employment training on Monday and Tuesday (Aug. 24-25) is offered through Recovery
Innovations. For more information and registration, see www.recoveryinnovations.org
Payment
must accompany registration. Checks should be made payable to “NAPS” and sent with the registration form to: NAPS,
755 Alta Dale, Ada, MI 49301.
For hotel reservations, contact the Hyatt Reservation Department
at: https://resweb.passkey.com/Resweb.do?mode=welcome_ei_new&eventID=834277&fromResdesk=true or simply go to the "Conference Lodging" page for a direct link to the reservation website. The NAPS Conference
group rate is (single/double occupancy) 117 per night plus taxes.
The special rate is available until August 4, 2009.
NAPS is a non-profit
organization, Federal I.D. # 30-0293174. Federal agencies please note that NAPS is CCR registered!
/
Advanced Peer Specialist Training
An
Adjunct Event on Aug. 24 & 25
(Monday and
Tuesday before the conference)
To register, please complete this form including payment information.
The Advanced Peer Practices registration
fee covers textbook, Introduction-module three online, (take at your own pace), and modules four-seven as classroom training
at the conference. Please ensure that you have speakers or a headset/ear buds to enjoy the
full value of your purchase, and to gain the most from your learning experience.
Training Information: Instructions,
login/password details, and your textbook will be sent to you upon receipt of payment.
Cost: Special Offer
- $75.00 per participant
Dates: Monday & Tuesday,
August 24-25, 2009 at Pre-Conference Institute
Name
____________Agency___________________________________________
Address: ___________City-St-Zip ___________ __________________
Email _________ Phone _________
Method of Payment: check one (make
checks out to Recovery Opportunity Center)
£ Check £ Invoice my Agency £Visa/MC#
exp: 3digit:
Card
Name & Billing address:
£ Please ship my workbook to the same address is same as my Registration address above
Or: Alternate shipping
address:
Please note: This registration is
for Advanced Peer Practices only and does not include Conference Registration.
To register, you can fax your completed form to (602) 636 5228 or call /email
Lisa Anderson lisaA@recoveryopportunity.com (602) 636-4411
PJ Simonson peggyjoS@recoveryinnovations.org (602) 636-4563
Make checks out to: Recovery Opportunity Center, 2701
N 16th Street, Suite 316, Phoenix, AZ 85006
For additional information or to register/pay online, go to: www.recoveryopportunity.com. You can also call us toll free at: (866) 481-5362
Exhibitor
Registration
3rd
Annual National Peer Specialist Conference
A limited amount of exhibit space will be available for the National
Association of Peer Specialists’ conference in Phoenix, AZ, August 26-28, 2009. Organizations and micro-enterprises
involved in mental health are invited to participate.
The exhibit hours will be 9 a.m. to 6 p.m. on Wednesday and Thursday
(Aug. 26-27) and 9 a.m. to 1 p.m. on Friday (Aug. 28). The cost is $50 per table (6 feet long), which does not include electricity
or phone services (these services may be arranged separately with the hotel).
Exhibitors should
note that the hotel charges a $7 per box handling fee for packages sent directly to the hotel. Payment can be made by credit
card or room charge.
Packages should be sent to: Hyatt Regency Phoenix
122
North Second Street
Phoenix, AZ 85004
Hold For: (Exhibitor Name / Exhibitor Company)
(Label as box 1 of 2, 2 of 2, etc.)
To
register for an exhibit table(s), please complete the following:
Exhibitor
Name(s)
Exhibitor Company
Street
Address
City
State
Zip
Phone#
I am requesting _________ table(s) at $50 each. Total: $________________
Send the completed form with
payment (check should be made out to “NAPS”) to: Lisa
Anderson, Recovery Opportunity Center, 2701 N. 16th St., Suite 316 Phoenix, AZ 85006
Note:
Exhibitor registration fee does NOT include conference registration fees, meals or refreshment breaks. NAPS is not responsible
for lost or stolen items.
