Massachusetts Alliance on Teen Pregnancy logo

Workshop Registration Form
Workshop Quantity Total
A.) Science-Based Approaches to Teen Pregnancy Prevention: What Are They and How Can We Promote Their Use? (February 26 & 27, 2008 9:00am - 3:30pm each day) x $75 Member $
x $100 Non-Member $
B.) Understanding Victims of Prostution and Other Forms of Sexual Exploitation: Dispelling Myths and Breaking Down Barriers (March 26, 2008 9:00am - 1:00pm) x $45 Member $
x $55 Non-Member $
C.) Teen Parent Puzzel (Boston, April 8, 2008, 9:00am - 12:00pm) x $45 Member $
x $55 Non-Member $
D.) Teens and Confidentiality, Privacy and Consent (Springfield, April 8, 2008, 1:00pm - 2:30pm) x $25 Member $
x $35 Non-Member $
E.) Teens and confidentiality, Privacy and Consent (Boston Metro Area, April 10, 2008, 1:00pm - 2:30pm) x $25 Member $
x $35 Non-Member $
F.) GLBTQ Youth (April 17, 2008 9:00am - 12:00pm) x $45 Member $
x $55 Non-Member $
G.) Sex in the Media: The Alliance's Annual May Event (Boston, May 1, 2008 9:30am - 12:00pm) x $25 Member $
x $35 Non-Member $
To clear order form:
Click here to calculate Total $
Contact Information (fields marked by "*" are required):
First Name* Last Name*
Title Company/Organization*
Names of Additional Registrants
First Name Last Name
First Name Last Name
First Name Last Name
First Name Last Name
Adress Line 1* Address Line 2
City* State*
Zip Code* Phone Number*
Fax Number Email Address*
Payment Information
Payments by Credit Card (Credit card orders must subtotal at least $25.00)
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Expiration Date (mm/year)

Payment by Check
Please send a copy of your completed order form and check made out to the
Massachusetts Alliance on Teen Pregnancy
105 Chauncy Street, 8th Floor
Boston, MA 02111

Registration fees are non-refundable, however substitute participants are allowed.
You will be billed if you have registered and are unable to attend.