2012 Registration Form

Morgellons Conference

"Searching for the UNcommon Thread"

The Charles E. Holman Foundation/New Morgellons Order is a non-profit organization with IRS 501 (c) (3) status.

Fee $50.00: ( $40.00 If you register before March 10, 2012) A tax deductible contribution to The Charles E. Holman Foundation is requested to help cover costs of this event, but is not required. We want everyone to have the opportunity to attend. Any proceeds from this event will be used to further education and research.

Student Discount: $10.00 with Student ID

The Charles E. Holman Foundation/New Morgellons Order is a non-profit organization with IRS 501 (c) (3) status.

Fee $50.00: ( $40.00 If you register before March 10, 2012) A tax deductible contribution to The Charles E. Holman Foundation is requested to help cover costs of this event, but is not required. We want everyone to have the opportunity to attend. Any proceeds from this event will be used to further education and research.

Student Discount: $10.00 with Student ID

Contribute using PayPal: Please include note "Conference 2012 Registration" when registering through PayPal. Click here to donate using PayPal: http://www.thecehf.org/donate-to-cehf.html

Alternative Methods of Registration

MAIL: Please print the 2012 Registration Form and mail along with your check or money order (if applicable) to:

Charles E. Holman Foundation
P.O. Box 1109
Lone Star, Texas 75668

EMAIL: Send your registration information to info@thecehf.org. Please put "2012 Conference Registration" in the subject line.

FAX: Please print 2012 Registration Form and include title page with "Registration to Charles E. Holman Foundation".

Fax Number: 903-639-2461