Registration Fee (New low price!) $75/person (includes lunch and breakfast)
"Autism Basics" more info $20/person on March 17th
Total

Method of Payment:
Check (payable to the BHARE Foundation)
Credit Card
Card #:
Exp Date:
Amount:
Signature:	____________________________

Payment is due February 28th. Late or same day registration fee is $100. No refunds after March 10th. Questions: 847-352-7678.

Return this portion and payment to:
BHARE Foundation
523 Newberry Drive
Elk Grove, IL 60007

or fill out the form online at www.bhare.org and FAX to 847-891-1580

For Financial Assistance:
Contact STARNET at 847-803-3565 (for children 0-5) or Arc of IL at 708-206-1930 (any age)

The conference is generally paid for by these groups, but you must apply 30 days in advance.

You will receive an e-mail or phone confirmation upon receipt of your registration and payment.