Each person attending must submit a completed form.
 So we may better accommodate you, please register at least 10 business days prior to the event. To register online please complete the form below or you may fax your Conference Registration Form to Kate Chilton at 518-564-4092.

First Name
Last Name

Title/Position
Business or Organization
Mailing Address
    
City
 
State/Province
Phone No.
Zip
Fax
Country
Email Address
Country of Citizenship (required for Port of Montreal tour)
 
Vegetarian Meals Requested
Yes
No
 

CONFERENCE REGISTRATION FEES
Includes food service as stated below. Lodging is separate. 		 

Early Registration (Prior to May 15, 2010) $295. USD  
Registration (after May 15, 2010) $345. USD  
Academic Registration

$195. USD

  
Student Registration $99. USD  

WILL YOU BE PRESENT AT THE FOLLOWING CONFERENCE MEALS & ACTIVITIES?
 Please check appropriate boxes:

Tuesday, June 15, Opening Reception Included in conference fee  
Wednesday, June 16, Luncheon Included in conference fee  
Wednesday, June 16, Dinner Included in conference fee  
Thursday, June 17, Luncheon Included in conference fee  
Port of Montreal Tour Included in conference fee  

WILL YOU BE PARTICIPATING IN THE GOLF OUTING?

Tuesday, June 15, includes 18 holes and BBQ Lunch, ticket $35. pp

x # =

$ USD

GUEST/SPOUSE MEALS & ACTIVITIES

Tuesday, June 15, Opening Reception GUEST ticket $30. pp x # = $ USD
Wednesday, June 16, Lunch GUEST ticket $20. pp x # = $ USD
Wednesday, June 16, Dinner GUEST ticket $50. pp x # = $ USD
Thursday, June 17, Lunch GUEST ticket $20. pp x # = $ USD
Port of Montreal Tour GUEST ticket $20. pp x # = $ USD
Name, country of citizenship and birth date (required for Port Tour)
 
TOTAL FEES including conference registration fee (U.S. FUNDS ONLY) $ USD

METHOD OF PAYMENT

Sorry, we DO NOT accept American Express.
Name on Card:
Credit Card No.:
Expiration Date:
CVE Code (3 digit code on back of card):

Checks: Please make checks payable to:
College Auxiliary Services and mail to:
CAS, SUNY Plattsburgh
101 Broad Street
Plattsburgh, N.Y. 12901
Tel: 518-564-3054
Fax: 518-564-4092

SECURE SITE
We are sensitive to your concerns regarding the security of using your credit card information to purchase products and services through the Internet. Safeguarding your privacy and confidentiality is very important to us. This web site uses Secure Sockets Layer (SSL) which encrypts your data while it is being transferred over the Internet. This makes it very difficult for someone to steal your credit card information.

CANCELLATION POLICY
If you must cancel for any reason, please notify us via email at kate.chilton@plattsburgh.edu. Registration refunds must be requested at least 5 business days prior to the conference. No refunds for late cancellations or no shows.

CONFERENCE CONFIRMATION
Confirmation and receipt of conference registration payment will be mailed, emailed or faxed to registrants.

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