DES MOINES, IA                                  October 26, 2006
Embassy Suites Hotel
101 East Locust St., Des Moines, IA 50309       (515) 244-1700

MINNEAPOLIS, MN                             October 27, 2006
Minneapolis Airport Marriott
2020 American Boulevard East, Bloomington, MN 55425        (952) 854-7441

HOTEL RESERVATIONS:  Make hotel reservations by calling the hotel directly. We did not
reserve a room block. To obtain the best rate ask for the government, Senior, AARP, or AAA rate,
if eligible, or for the best available rate.  If you need more information about the hotel or need
suggestions for other hotels call BIS or check the internet by clicking on
Hotels, at left.

REGISTRATION:   Please complete the registration form, or a photocopy, and mail with check
or agency purchase order or voucher, to Behavior Intervention Specialists, 1739 University Ave #350,
Oxford, MS 38655-4109. Our FEIN is 63-0935244. You may
fax registration and purchase order
662-234-0553. We do not accept credit cards.

Early registration: $170 per person, if postmarked or faxed no later than October 11, with
check or purchase order enclosed.  
Group Rates: Three participants from the same agency, $155 each; six, $140 each.  Sending 10
or more? Call for additional discounts.
Late registration: $190 per person; three, $175 each; six, $160 each. Please call ahead to
confirm that workshop space is available and that the schedule has not changed.  
Cancellation policy: Full refund if you notify BIS at least seven days before workshop date;
50% refund if notified at least 48 hours before workshop; no refund thereafter.  This applies
to payments received by check, purchase orders, or faxed registrations.

Additional Information:  Please call Dr. Walt Antonow at 662-234-1640 for any additional
information regarding the workshop, or if registering late.

Workshop attending   [      ]  Des Moines             [     ] Minneapolis

Name _____________________________________________________________________

Job Title ___________________________________________________________________

Agency ____________________________________________________________________

Address ___________________________________________________________________

City _____________________________________________ State ______ Zip ____________

Phone (             ) ________________________ Fax # (            ) __________________________

Email _____________________________________________________________________

Mail or Fax to:     Behavior Intervention Specialists, Inc.
1739 University Ave, Oxford, MS 38655-4109    fax  662-234-0553  
Developing Positive Sexuality & Dealing with
Inappropriate Sexual Behavior