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National Training, San Diego, August 2022
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Email
Rooming and accommodations
Travel Plans, Arriving date and time. Departing date and time. Car or Airport. Which airport and Flight # – arrival time.
Why do you need my travel plans? In some cases, we may be able to provide transportation but not guaranteed. Knowing your travel plans will help us coordinate transportation.
Your Gamaliel Affiliation
Not A Gamaliel Affiliate
Name of your affiliate organization
Tell us about your organization
Pay Now, standard double occupancy room (Affiliate Rate)
Pay Now ($750.00)
Pay Later ($750.00)
Single room + 200
Pay Now, standard double occupancy room (Non Affiliate Rate)
Pay Now ($1,500.00
Pay Later ($1,500.00)
Single room + 400
Payments are due at the beginning of training, payment options will be available on your confirmation email. Questions about payment contact Regina Lewis at 312-357-2639
Enter your payment information below.
Your card will be processed securely and immediately.
Address Line 2
State / Province / Region
ZIP / Postal Code