INTERNATIONAL SUMMER INSTITUTE
An Intensive Symposium on Collaborative Practices
in Organizations, Therapy, Education and Research

Name ____________________________________________________________________________________________

Address (street/city/state/country/code) _________________________________________________________________

Email __________________________________ Phone ______________________ Fax ___________________________

Credit Card (MC/VISA/Discover) #________________________ Signature __________________ Exp. Date _________

Arrival Date ______________________________ Departure Date ____________________________________

Professional Affiliation ___ Psychologist ___ MFT ___ LPC ___ Physician ___ Attorney ___ OD Consultant ___ Other

* INTERNATIONAL SUMMER INSTITUTE (June 19th-24th)
* Before May 15th 895 US$ (Includes daily breakfast buffet, beach buffet receptions, postmodern salon & study materials)

* After May 15th 995 US$

* Student Rate Before May 15th 595 US$; after May 15th 695 US$

* Accompanying person: 50

$ (add to registration fee-includes beach buffet receptions, and other social and cultural events)*

To register for ISI:
Credit card: Fax above form to: 1-713-528-2618
Bank wire transfers: Contact admin@talkhgi.com
Payments by check: Mail the above form to: HGI - 3316 Mount Vernon - Houston, TX 77006 - USA
Phone 1-713-526-8390; Fax 1-713-528-2618; Email admin@talkhgi.com
Spanish speaking participants please contact: sylvialondon@yahoo.com

Cancellations: Fee is non-refundable unless a program is filled, cancelled or the refund is requested prior to June 1, 2012). Cancellation fee: $75.

Receipts: Canceled checks and credit card statements will serve as receipts. No additional receipts will be provided, unless requested.

Hotel Las Palapas

Playa del Carmen, Mexico

Tel 52-984-8734260

Fax 52-984-8730458

info@laspalapas.com

http://www.laspalapas.com /

To register for hotel: Participants are responsible for making their hotel reservations and paying the hotel directly.

1. Register online at Las Palapas Hotel

2. Select the dates and enter code SPAGI for Houston Galveston Institute discounted room rates. It will list all possible rooms and rates. Rates will not include the 14% tax.

3. Then follow the steps and reserve your room directly online.

4. If you have problems registering online, email the hotel (Attention: Maricela) Las Palapas Hotel and tell her that you are with the International Summer Institute (ISI). 5. If you plan to arrive early or stay a few days after the ISI, you will receive the same ISI daily hotel room rate.

6. No charge for children 6 years old and younger. Scroll down for additional information on how to register.

Former ISI participants say: "The hotel breakfast was worth the trip!" - "The hotel staff exemplifies the word 'hospitality'."

Hotel rates: Room rates are not based on number of occupants. Most rooms have two double beds. Room rates include daily breakfast buffet. Rates start at at $114, depending on location (e.g. garden, pool, ocean view). Contact hotel directly for questions. Las Palapas Hotel Enter code # SPAGI

* Family members and friends who accompany participants to Playa are invited to the receptions and cultural events. Fee is 50 US$ per person

**Room mates: If you need help with a room mate, please contact HGI for possibilities.