What name would you like on your conference badge? * In addition, what is your company/affiliation? Continuing, what city are you coming from? * What is your mailing address? * City, State, Zip? * Is this address business or home? * Home BusinessWhat is your daytime phone number? * E-mail Address: * Do you have any special needs that you would like us to know about so we can help you better? Would you like a vegetarian meal? * Yes NoWhat is your classification? Check all that apply. * OT OTA Student Speaker WOTA member (2008 dues paid) Non WOTA member Member AOTA State affiliate 2008 conference committee memberAre you willing to introduce a speaker? * Yes NoIf so, what day? Thursday Friday Saturday Are you willing to donate a themed basket? * Yes NoWhat institute would you like to attend on THURSDAY? * None A C D F H What institute would you like to attend on THURSDAY & FRIDAY? * None B E G What institute would you like to attend on FRIDAY & SATURDAY? * None I J What institute would you like to attend on SATURDAY? * None K L M On FRIDAY from 9:30-11:00 am, what session would you like to attend * None 101 201 301 401 501 601 On FRIDAY from 11:15 am-12:15 pm, what session would you like to attend? * None 102 202 402 502 602 On FRIDAY from 1:30-3:00 pm, what session would you like to attend? * None 103 203 303 403 503 603 On FRIDAY from 3:30-5:00pm, what session would you like to attend? * None 104 204 304 404 504 604 On SATURDAY from 8:30-10:00 am, what session would you like to attend? * None 105 205 305 405 505 605 On SATURDAY from 12:30-3:30 pm, what session would you like to attend? * None 106 206 306 406 506 606 I plan to stay for lunch at no additional cost on... Check all that apply. * Thursday Friday SaturdayI plan to attend the keynote address on Friday? * Yes NoI plan to attend the WOTA member meeting on Friday? * Yes NoI plan to attend the Social hour/COTA recognition on Friday? * Yes NoI plan to attend the awards banquet on Friday (for an additional $25)? * No Yes, New York Strip with Merlot Mushroom Demi-glaze Yes, Skewerd Shrimp ScampiI plan to attend the student forum? * Yes NoI plan to attend the SIS panel discussion on Saturday? * Yes NoI plan to attend the poster presentation on Saturday. * Yes NoI will be staying at the Ramada * Yes No
* Required