1997 VOMA CONFERENCE REGISTRATION FORM

September 16-20, 1997

Name ______________________________________________________________

Title______________________________________________________________

Organization_______________________________________________________

Address____________________________________________________________

______________________________________________________________

Phone(_______)_______________ Fax (________)___________________

Make checks payable to: VOMA

Send check and form to:

VOMA
c/o The Restorative Justice Institute

P.O. Box 16301

Washington, DC 20041-6301

I am a VOMA member: yes ___ no ___

I am joining now (membership fees included) ___

Total Amount Enclosed ** $ ________

Important: Mark the appropriate square(s) below to register:

Training Institute

** Select here for fee schedule **

Last Updated 1/18/98 by Duane Ruth-Heffelbower.