The Global Standard in Public Service Education 2012 CAREER PROFESSIONALS CONFERENCE REGISTRATION FORM Thursday, Dec. 6 – Friday, Dec. 7 Welcome Reception, Wednesday evening Dec. 5 Denver, CO Host: University of Colorado Denver’s School of Public Affairs Please submit your completed form to NASPAA via email or mail, along with payment, by Nov. 26. Name: _______________________________________________________________________ Title: ________________________________________________________________________ School: _______________________________________________________________________ University: ____________________________________________________________________ Telephone: (____) ___________________ Email: _____________________________________ Dietary requests (e.g. vegetarian, gluten-free): ________________________ The registration fee includes two continental breakfasts, two lunches, four coffee breaks, and conference materials. Attendees are responsible for lodging and dinner. No local travel will be required. ____ Early Registration (Deadline Nov. 5) ____ Check for $175 enclosed (Make payable to NASPAA) ____ I’m paying online via Paypal ($178 includes $3 PayPal fee). You don’t need to have an account! https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=J6297NXPNJJLQ (If the link doesn’t work, please copy and paste the address directly into your browser address bar) ____ Regular Registration (Deadline Nov. 26) ____ Check for $200 enclosed (Make payable to NASPAA) ____ I’m paying online via PayPal ($203 includes $3 PayPal fee). You don’t need to have an account! https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=PTTHMJBKDQ7TA (If the link doesn’t work, please copy and paste the address directly into your browser address bar) ____ Charge my credit card $175 (Early Registration – Nov 5 deadline) ____Visa ____ MasterCard ____ Charge my credit card $200 (Regular Registration – Nov 26 deadline) ____Visa ____ MasterCard Card Number: _______________________________________ Expires: __________ Name on card: _______________________________________________ Signature: _______________________________________________________ continued Please indicate your intention to attend the Welcoming Reception on Wednesday Dec 5 The reception will be paid individually and include Happy Hour from 4:30-6 PM and a Group Dinner at 6:15 PM ____ Yes, I plan on attending happy hour and dinner ____ Yes, I plan on attending happy hour only ____ Yes, I plan on attending dinner only ____ No, I will not be able to attend the Welcoming Reception Suggested Lodging: We have a discounted rate of $129 (plus tax) at The Curtis hotel, a 5-minute walk from campus. Make your reservation online or by calling 303-571-0300. The group code for the discounted rate is: CUP. NASPAA’s federal tax ID number is 52-1080991. Please submit this form by November 26: Mail: Career Conference / NASPAA / 1029 Vermont Ave. NW, #1100 / Washington, DC 20005-3517 Email: heiser@naspaa.org (and cc Brendan Hardy Brendan.Hardy@ucdenver.edu) Questions? Contact Brendan at Brendan.Hardy@ucdenver.edu / (303) 315-2227