2012 Natural Living Conference Registration Form

Saturday, October 13, 2012
Doubletree Magnificent Mile, Chicago, IL
8:30am - 4:30pm
For a printable registration brochure, click here.

To register, please complete the form below and click the Submit button to complete your order paying by credit card or using a PayPal account (both are managed through PayPal's service). Registration will not be complete until a notification of payment is received from PayPal. Please complete the entire process, including online payment, to officially register for the event. Registration includes our Keynote Speakers, one Workshop Session, Lunch, access to the Exhibit Hall and more!

HMN Members and official Chapter Leaders will receive a discounted Registration Fee. If you would like to become a Member of Holistic Moms, you may also join using this form (see below).

Registration Fees
Early Registration (through July 31, 2012, prices will go up after this date):
HMN Chapter Leader: $70 per person
HMN Active Member: $75 per person
Non-Member: $85 per person
Youth Registration (Ages 3+): $45
 
Registrant Information  
Are you an HMN Member?   Yes   No
Join Today and Save $10 Off Registration:   $45 individual membership
$60 family membership
Select Chapter:  
First Name:  
Last Name:  
Address:  
City:  
State:  
Zip:  
Phone:  
Email:  
Lunch Preference:   Vegetarian   Vegan
Gluten Free   Chicken   Fish
Are you an HMN Chapter Leader?   Yes   No
Workshop Session (top two choices):

 
Additional Conference Registrant?   Bring a Friend and SAVE! Register a friend/spouse and you each save $5 off the regular registration price! Check to register an additional person.
 
Youth Registration
Children will be attending with me ages 3+ years of age ($45 per child)
 
HMN CHAPTER LEADERS: Register for the Chapter Leaders Session (Free to HMN Chapter Leaders), Sunday, October 14, 2012 9:00am-3pm. Includes Lunch Buffet. (Official HMN Leaders and Co-Leaders only.)
 
I am unable to attend but am donating to the Holistic Moms Network
Amount: $
 
Promo Code
 
 
How did you hear about the Natural Living Conference?
 
HOLISTIC MOMS NETWORK PO BOX 408, Caldwell, NJ 07006 Phone: (877) HOL-MOMS Email: INFO@HOLISTICMOMS.ORG