DOTA Annual Meeting & Conference

Mail by pre-registration deadline or bring to event

DOTA Organization
c/o Specialty Rehabilitation
288 East Main Street, Suite 132
Newark DE 19711

RE: Registration for DOTA Annual Meeting & Conference, Sat., May 15, 8:00 am to 3:00 pm, Cokesbury Village, 726 Loveville Rd., Hockessin DE 19707-1519, Telephone (302) 235-6000.

Registration Deadline and Fees

Pre-registration must be postmarked by May 8

• DOTA Members $35
• Occupational Therapy Students: free with college ID
• Others $55

Registration at the door (subject to space availability)

• DOTA Members $50
• Occupational Therapy Students: free with college ID
• Others $60

Mr./Mrs./Ms. ___________________________________________

Address: _______________________________________________

City ST Zip: _____________________________________________

Member ____; Student ____; General _____

 ____ I need an attendance form to submit for CEUs.

Cash/check only.