CCID 34th Annual Conference

Registration

 

Registration cut-off date: Monday, February 1, 2010
Cancellation deadline for full refund: EOB Friday, January 8, 2010
Cancellation deadline for 50% refund: EOB Monday, February 1, 2010

All fields marked with an asterisk must be completed

Name: *
Position:
Institution: *
Address: *
City: *
State: *
Zip: *
Country: *
Phone: *
Fax:
Email: *

The registration fee for "Individual," "Team" (5 or more registrations from 1 institution),
"Presenter" and "Personal Associate" registration covers:
all refreshments, Sunday Banquet dinner, Monday Awards Luncheon, and entry to all sessions
(EXCEPT FOR Pre-conference Workshops - separate registration for a fee).

MEMBER FEES (Refer to these lists if not sure - CCID Board, CCID Member, Personal Associates)
Early bird by EOB December 1, 2009 From December 2, 2009
1. INDIVIDUAL Registration $295.00 $320.00
2. TEAM Registration $260.00 $280.00
3. PRESENTER $265.00 $270.00
4. CCID Personal Associate
(an Honorary status voted on by the CCID Board)
FREE FREE

NON- MEMBER FEES (Refer to these lists if not sure - CCID Board, CCID Member, Personal Associates)
Early bird by EOB December 1, 2009 From December 2, 2009
1. INDIVIDUAL Registration $320.00 $350.00
2. TEAM Registration $280.00 $300.00
3. PRESENTER $270.00 $275.00
4. CCID Personal Associate
(an Honorary status voted on by the CCID Board)
FREE FREE

EVENT REGISTRATION:
For those who registered under 1., 2., 3., or 4. above. All meal functions are ticketed and tickets for each meal must be presented at the door to the function attendant. NO meals for registered participant can be added after Thursday, February 18th.
I plan to attend Sunday Banquet Dinner (meal ticket required)
I plan to attend Monday Awards Luncheon (meal ticket required)
International Guest Luncheon, Sunday, February 21st- Reserved for International Conference guests and CCID Board Presidents (meal ticket required)
Do you have dietary restrictions?
If yes, please specify (options are appreciated):
COMPANION REGISTRATION:
Those who DID NOT register under 1., 2., 3. or 4. above are considered Companions. Please register for meal functions here. All meal functions are ticketed and tickets for each meal must be presented at the door to the function attendant. NO companion meals can be added after Thursday, February 18th.
Sunday Banquet Dinner (meal ticket requied)
Companion Name

$60.00
Monday Awards Luncheon (meal ticket required)
Companion Name
$40.00
International Guest Luncheon - A companion of international guest accompanying the registered international guest to the luncheon, please insert companion name here if a name badge is required:
Please limit to one (1)companion per registered international guest. (meal ticket required)
Does your companion have dietary restrictions?
If yes, please specify (options are appreciated):

Total payments to remit to CCID:

$
Is this going to be your first attendance at the CCID Annual Conference? Yes No
By marking "Yes", you will receive a notification email from CCID as a new attendee to help you better navigate the event.
This is my conference #

Dress Code: The conference dress code is business casual for most workshops, plenaries and break out sessions.
Banquet dinner requires after 5:00 attire for both men and women. Thank you.
Model Release: Agree Do not agree
I hereby agree and authorize the use and reproduction by CCID or anyone authorized by CCID,
of any or all photographs, video and radio interviews which CCID has taken of myself, for any purpose as
authorized by CCID, without any compensation to me. CCID may use these photographs/interview quotes for
promotional and information purposes through publications, broadcasts, and website for a period of 5 years
after this registration submission's date.
Cancellation Policy: All cancellations must be submitted to CCID in writing.
Full refunds will be granted to those who cancel their registration on or before EOB (Central) January 8, 2010.
A 50% refund will be issued to those who cancel their registration on or before EOB (Central) February 1, 2010.
Any cancellations received on or after February 2, 2010, are NON-REFUNDABLE.
I will pay my registration with:
Check, Money Order and/or Institutional Purchase Order
PO#:
(Optional)

Make checks payable in US dollars only to: CCID Executive Office.
Mail checks to: CCID Executive Office * PO Box 2068 * Cedar Rapids, Iowa 52406-2068 * USA

Credit card (Visa, Master Card & Discover) - I will call the CCID Executive Office at 319.398.7622/ 7183/ 1257.
Calling our office to pay the registration fee does not substitute for online registration.

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