From Hurt 2 Healing

Conference Registration Form

Most Excellent Way Life Center
Rev. Gloria Walton, Founder / CEO
From Hurt to Healing
"Restoring Lives...Miracles Do Happen"
OCTOBER 20, 2017
8:00 a.m. - 5:00 p.m.
New Jersey City University
CONFERENCE REGISTRATION FORM
(Last day for registration is October 15, 2017)

Do you require accommodations?

Attending:

Entire Conference Day Package ($125.00)Workshop #1 Only Mass Incarceration: Our Most Threatening Social Justice Issue ($65.00) Speaker Khalil A. Cumberbatch, MSWWorkshop #2 Only Grief and Loss: Forgotten Issues of Incarceration and Womanhood ($65.00) Speaker Helena D. Lewis MSW, LSW, LCADCCommunity Awards Luncheon Only Fatherhood Engagement Awards ($65.00)

Method of Payment:

Credit or Debit Cards, PayPal, Business or Certified Checks Only

Satisfaction Guarantee:

Your satisfaction is our goal and our guarantee. Concerns should be addressed to MEW, PO Box 716, Bayonne NJ 07002 or call (201) 333-8810 of Fax (201) 603-1179

ADA Needs:

We would be happy to accommodate your ADA needs; please call conference team at (201) 333-8810

Cancellation Policy:

Cancellations received at least ten days before the event are refundable less $30 administrative charge per registrant. A refund or voucher will be issued to any participant who is registered to attend a workshop that has been cancelled by MEWLLC. If registration or payment is not received 10 days prior to the event, your certificate may not be ready at the conference.

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