Registration Information:

Name(s) of Attendees:

Address, fax, or e-mail where we can send your confirmation:

Conference Fee:

Indicate number of persons below in each category:

3 Days ATA Member ($175) _____ or Non-Member ($200) _____

2 Days ATA Member ($125) _____ or Non-Member ($150) _____
Days ________________ and _________________.

1 Day ATA Member ($75) _____ or Non-Member ($90) _____
Day _________________

Total Payment:

Method of Payment:

Check or Money Order _____
(Mail to address above, payable to American Tarot Association)

Credit Card (Visa or Mastercard) _____
(Call the ATA main office at 1-800-372-1524 to pay by credit card)

PayPal _____

Send payment via PayPal to Conferences@ata-tarot.com or use the button below:

(Please note that if you pay by credit card or PayPal, you still need to mail or fax this registration form to the address above. Thanks.)

Meal Requirements

Please let us know approximately when you will be arriving and departing so that we can better plan our catering:

Arrival (Date/time)

Departure (Date/time)

Special Dietary Requirements?

Room Requirements

Please let us know how many rooms you expect to reserve, for planning purposes:

Thurs ______ Fri ______ Sat ______

Room reservations must be made directly with the hotel, and all guests are responsible for their own room charges.

To make a reservation, call the Portland Downtown Doubletree Inn at 1-503-221-0450, and ask for the ATA Conference rate.

If you would like us to help you find a room-mate for a double, triple, or quad room, please let us know your preferences:

Number of Room-mates Requested _____
Male _____ Female _____
Smoking _____ Non-Smoking _____ Either _____
Have you already booked your room? Yes _____ No _____