Print out this form, fill it out, and send it to the address listed.

Registration for
The 38th Annual Information Exchange, May 20-25, 2007
on Weeks Bay in Fairhope, Alabama

_____ I want to attend The 38 Annual Information Exchange aon Weeks Bay in Fairhope, Alabama. Enclosed is my registration fee of US $210 ______for members of The O.D. Institute and US $270 _______ for nonmembers.

_____ I will make my room reservation directly with Jo Masters, c/o Beckwith Conference Center, 10400 Beckwith Lane, Fairhope, Alabama, 36562-6008 Tel: 251/928-7844. To be sure of having a room, please mail your check to arrive by May 1st.

_____ I would like to make a presentation. The title of my presentation is:

_____________________________________________________

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Name _________________________________________________ Telephone (___)__________
Address  ____________________________________________ Email ____________________
Please make checks payable to The O.D. Institute and mail to us at:
11234 Walnut Ridge Road, Chesterland, Ohio 44026-1299, USA.
In order to register you, we need a check!