Please let us know the names of the adults and children who will be attending this year's seminar. When you have completed filling out this form, please preview it, print it and mail it in with your check.

AVRF Seminar 2008 : Attendee Details
Family Name *
Address *
City *
State *
Zip *
Phone Number *
Email *
Adults and all children 13 and over - $115 each
Adult #1
Lunch Choice	RegularVegetarian
Adult #2
Lunch Choice	RegularVegetarian
Adult #3
Lunch Choice	RegularVegetarian
Adult #4
Lunch Choice	RegularVegetarian
Children Attending Without Vitiligo (12 & Under) - $55 each All children under 12 receive chicken fingers as lunch entree.
Child #1
Age
Child #2
Age
Child #3
Age
Child #4
Age
Children attending With Vitiligo (12 and under) AVRF guests - no charge All children under 12 receive chicken fingers as lunch entree.
Child #1
Age
Child #2
Age
Child #3
Age
Child #4
Age
Payment Method	Please select oneAlready paid through PaypalWill mail my check
To Mail Registration: If you will be paying via check, please print this form, and send it along with a check or money order (payable to) “AVRF 2008 SEMINAR”  to: American Vitiligo Research Foundation, Inc. P.O. Box 7540 Clearwater, FL 33758  For further information email: vitiligo@avrf.org

Note: Registration is not refundable on or after June 1st, 2008