EduComm 2011 - (Page 11)
2011
University Business Leadership Institute
June13-15, 2011 The Hilton in the Walt Disney World resort
Registration Form
Register before April 22, 2011 to take advantage of the special early bird rate of only $695 for members, $795 for non-members. Use one form per registrant. Duplicate this form for multiple registrants. There are three ways to register:
1. Online www.educommconference.com/register T 2. Fax Fax this form to: 203.663.0149 3. Mail Mail this form to: EduComm 2011 Registration, 488 Main Avenue, Norwalk, CT 06851
Team Discount:
his is a secure payment site. For questions about payment, please contact Dana Kubicko at 203.663.0114.
Pay for one registration and colleagues from your institution can receive $200 off. The 10th registration in your group is free.
General information
First Name Job Title Institution or Company Address Address Line 2 City Country Phone E-mail Address (required) q I require special assistance. (Please describe your needs) Fax State/Province Zip/Postal Code Last Name
Conference Fees
Conference fee includes one full conference pass, opening night reception, and FREE access to the InfoComm exhibit hall. Check appropriate rate below:
Member q q q
Early Bird Rate (1/21 – 4/22) . . . . . . . . . . . . . . . . . . .$695 $795 After April 22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$795 $895 Additional team members . . . . . . . . . . . . . . . . . . . . . . . . $200 off
Non-Member
**You must indicate below the other members of your team to qualify for discounted registration. Please list all names in your institution’s group. The tenth member attends for free.
Two Choices for Payment
Payment is required for registration. You may pay by check or credit card. q Check or money order enclosed in the amount of: $
(Make payable to Professional Media Group in U.S. funds.)
Charge my: q American Express
q Visa
q MasterCard
q Discover
Card Number Did you attend EduComm last year? q Yes q No q Website Expiration Date Credit Card Security Code (3 digits on back of card) Cardholder’s Name q None Signature
How did you hear about EduComm? q Ad q Direct Mail q Previous Attendee
q q
E-mail Other:
Please indicate your equipment purchasing authority: q Authorize q Recommend
Completed registration may be cancelled by registrant online if registration was made online. Cancellation and refund requests can also be submitted in writing. A full refund will be issued for cancelled registrations if request is submitted online or in writing by May 13, 2011. No refunds thereafter. All cancellations will be subject to a $50.00 processing fee. For all cancellation requests or questions, please write to Dana Kubicko at EduComm Conference, 488 Main Avenue, Norwalk, CT 06851 or e-mail dkubicko@promediagrp.com.
EduComm 2011
11
http://www.educommconference.com/register
http://www.educommconference.com/register
Table of Contents for the Digital Edition of EduComm 2011
EduComm 2011
EduComm 2011 June 13-15
2011 Keynotes: Meet the World Changers
2011 Featured Sessions
Special Features
Registration Form
EduComm 2011 Sponsors
EduComm 2011
EduComm 2011 - EduComm 2011 (Page Cover1)
EduComm 2011 - EduComm 2011 June 13-15 (Page 2)
EduComm 2011 - 2011 Keynotes: Meet the World Changers (Page 3)
EduComm 2011 - 2011 Featured Sessions (Page 4)
EduComm 2011 - 2011 Featured Sessions (Page 5)
EduComm 2011 - 2011 Featured Sessions (Page 6)
EduComm 2011 - 2011 Featured Sessions (Page 7)
EduComm 2011 - 2011 Featured Sessions (Page 8)
EduComm 2011 - Special Features (Page 9)
EduComm 2011 - Special Features (Page 10)
EduComm 2011 - Registration Form (Page 11)
EduComm 2011 - EduComm 2011 Sponsors (Page Cover4)
https://www.nxtbookmedia.com