register | ticconference

REGISTER .

Please indicate the date(s) of your attendance.

Both days ____

Thursday, 9/15 ___

Friday, 9/16___

Registration Options:

Mail: St. James Healthcare
         Attn: Lynda DeWitt
         400 S. Clark St.
         Butte, MT 59701

Make checks payable to
St. James Foundation

Credit Card payments can be made by phone

Phone: 723-2406

Fax: 723-2404

$50 for 2 days

$60 for 2 days after September 12th

$35 for 1 day (please indicate which day you will be attending)

$40 for 1 day after September 12th