DONA International Conference

Register online, fax or postmark your registration by April 30 for early-bird savings and to get your first
choice of sessions! Not a DONA member? Join DONA International now for reduced member fees!
Conference Fees
All fees are in US Dollars only*
Full Conference
o Members
o Non-Members
Early Registration
Postmarked by May 15 (5:00 p.m. EST)
Regular Registration
After May 15 (5:00 p.m. EST)
Group A* Group B* Group C* Group A* Group B* Group C*
$395
$495
$350
$430
One Day Conference
o Members
$195 $175 $155 $225 $200
o Non-Members
$245 $215 $180 $275 $240
Pre-Conference Program A – Anahuac/Lamaze Accredited Childbirth Educator Workshop
o Members
$315 $273 $230 $365 $311
o Non-Members
$365 $315 $265 $415 $353
Pre-Conference Program B – Use of TENS in Labor for Birth Doulas
Registration deadline June 23
o Members only $80 $69 $58
$95 $81 $70
Birth Doula Workshop
Registration deadline June 23
o Members
$350 $300 $255 $400 $345 $285
o Non-Members
$400 $345 $285 $450 $385 $320
Postpartum Doula Workshop
o
o
Members
Non-Members
$400
$450
Registration Fees
$345
$385
Page 2
$300
$365
$285
$320
$495
$595
$435
$525
Registration deadline June 23
$450 $385 $320
$500 $425 $355
$385
$450 $
$170
$200 $
$274
$309 $
Subtotal
$
$
$
_____Vegetarian meals _____Kosher meals required (please check)
(See the Conference Details page in the brochure for information on how to meet other dietary needs.)
_____I require translation of session presentations into Spanish
DONA International Membership
o One-Year Membership
o Two-Year Membership
o Three-Year Membership
DONA International Care Fund
$50.00*
$85.00*
$125.00*
$41.50*
$70.50*
$103.75*
$34.00*
$57.60*
$83.75*
I would like to make a contribution to assist others to attend the DONA International Conference through the DONA International
Care Fund. The DONA International Care Fund is a 501(c)(3) organization and donations are tax deductible.
No charge
No charge
$
$
*Fees have been adapted to country of origin. Group A: USA and Canada, Group B: Mexico, Group C: if your
country is not listed here, check the International Fee Group Index at www.DONA.org, e-mail info@DONA.org or
call the Home Office at 888.788.DONA (3662). All payments must be in US funds.
Total
Enclosed
(in USD)
$
! Method of Payment
o Check or Money Order # (USD only—payable to DONA International)
o
___VISA ___Master Card ___American Express ___Discover
______________________________________________________________________________________
Name on Credit Card Credit Card Number CCV# Expiration
Signature
Date
o
o
Easy online registration through www.donaintl.eventbrite.com
Fax or Mail completed registration form (two pages) with payment, in USD only, to:
Annual Conference, DONA International, 2851 South Parker Road, Suite 560, Aurora, CO 80014
Fax number: 303.755.7363
Registration
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