SUMMER INSTITUTE 2010

	Toronto, Canada
	July17-19, 2010
	REGISTRATION
	Registration is open to all faculty and staff of CCID Member Colleges

First Name:

Last Name:

Title:

Institution:

Address:

City:

State/ Province:

ZIP:

Country:

Phone:

Email:

Please select the meals you will attend (these are part of your registration fee):

Sunday

Banquet Dinner : 7-9 pm (meal ticket required)

Monday

Luncheon : 12-1 pm (meal ticket required)

Do you have any special dietary requirements?
Yes No

If yes, please specify:

COMPANION Meal Registration:

Name:

City, State/Country:

Email:

Sunday Banquet, $60 (meal ticket required)

Monday Luncheon, $45 (meal ticket required)

(Companion meal reservations must be received at least 48 hours prior to the beginning of the Institute. The individual meal fees reflect the hotel's catering pricing. Thank you.)

Does your companion have any special dietary requirements?
Yes No

If yes, please specify:

Contact Janice Russell, jrussel@kirkwood.edu, 319-398-7622 if you need to change your selections after you submit your registration

PAYMENT:

Registration fee for Myself ($250)

The fee covers all sessions and meals July 17-19

Companion Meal Registration

TOTAL

Please send me an invoice.

Please enter your PO number if applicable:

PRE-PAYMENTS ARE REQUIRED. WE WILL NO LONGER ACCEPT credit card or check payments onsite at the registration desk. We appreciate your understanding and apologize for any inconvenience. We ask international attendees to contact our office regarding payment options.

I will pay by Check. (Personal, Institutional and Money Orders are accepted)

Please make checks payable to: CCID

Mail to:
     CCID Executive Office
     Attn: Summer Institute 2010
     6301 Kirkwood Blvd. SW
     Cedar Rapids, IA 52404

I will pay by Credit Card.
Please contact the CCID Office at 319.398.7622 to pay by credit card. (Visa, Master Card and Discover are accepted)

CANCELLATION POLICY

Registration cancellations received by CCID, in writing, by June 24, 2010, will be fully refunded if paid at the time of cancellation.
Companion meals cancelled via email to CCID by June 24, 2010, will be refunded in full if paid at the time of cancellation.
All cancellation notices for paid Registrations and Companion Meals received within 10 business days or less prior to the Institute start date will be refunded in the amount of 50% of the total (final) registration fee.
Cancellation notices for Registrations and Companion Meals listed above, received after the start date of the Institute will not be refunded. No Show’s for any of the registration items will not be refunded.