MLD '2007 - Boston, MA - October 19th & 20th, 2007

Overview <-- click here

Agenda <-- click here

Registration Instructions:

Registrations made after September 30th may be subject to space limitations and additional fees passed onto to us by the hotel - REGISTER EARLY!

Please fill out the form as best you can.
Please let us know your arrival and departure dates even if you do not have airline reservations yet.

Please describe any special circumstances in the comments field.

You will be prompted for payment information after you complete this page.
Already registered? Need quick link to the payment page? Click here.

Thanks! We look forward to seeing you in Boston!

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Our room block for Friday night is completely booked but we have been able to procure more space as the hotel has other cancellations. PLEASE DO NOT CALL THE HOTEL DIRECTLY TO MAKE YOUR RESERVATION. We still have space Saturday night. You may submit your registration but the prices and availability cannot be guaranteed. You may contact us here.

General Information
Name		E-mail
Address		re-enter e-mail
Address 2		Phone
City
State/Province	State/Province Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming --Canadian Provinces-- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon Territory
Country	------- Select ------- United States Canada -------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Rep. of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Rep. of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and The S.Sandwich Is. Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
Zip/Postal Code
Total Attending:
Adults	1 0 $325 for first adult 0 1 2 3 4 5 $75 for each additional adult (non-MLD ... please count and list MLD affected family member in green section, below) 0 1 2 3 4 5 If not staying at the Embassy the first adult is $125 ... select 1 here and please select '0' for the first adult, above. Please list names of all attending non-MLD adults here (list MLD adults ingreen section):
Children (non-MLD)	0 1 2 3 4 5 $30 for each child Please list names of all attending non-MLD children and their ages here:
Infants (non-eating)	0 1 2 3 4 5 $15 each Please list names of all attending non-MLD infants here:
MLD Affected Family Member(s) - please list even if they are not attending
name		name
age		age
attending?	YesNo	attending?	YesNo
wheelchair?	YesNo	wheelchair?	YesNo
regular meals?	Yes (adult size $75, child size $30) No	regular meals?	Yes (adult size $75, child size $30) No
Travel Arrangements
Travel Dates	Arrival: Fri 10/19 Sat 10/20 Wed 10/17 Thur 10/18 other Departure: Sun 10/21 Mon 10/22 Sat 10/20 other
Drive or Fly	FlyDrive
Flight Info	Arrival Airline: Flight: time: Depart Airline: Flight: time: Renting a car? YesNo
Comments

Please note: Registrations are not complete until the registration fees are paid and are subject to the guidelines on the Overview page.

Already registered? Need quick link to the payment page? Click here.