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

Registration before October 15th for
The 28th O.D. World Congress, June 8-14, 2007
on the Island of Sardinia off the coast of Italy

_____ I plan to attend The 28th O.D. World Congress at Cagliari Castle on the island of Sardinia, Italy. Enclosed is my registration fee of US $130 ______for members of The O.D. Institute and US $180_______ for nonmembers. (Checks must be drawn on a bank with a branch in the USA. The O.D. Institute does not accept credit cards.)

_____ I am a fulltime student and would like to apply for a scholarship. Enclosed is US $10 application fee.

_____ I will reserve my room at Hotel Califfo on the Island of Sardinia. A single room with breakfast will cost about US $78.30.

_____ I would like to attend the free 18th Annual Meeting of O.D. Networks Worldwide on Saturday morning June 14, 2008.

_____ 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!