Registration form

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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: [email protected] (and cc Brendan Hardy [email protected])
Questions? Contact Brendan at [email protected] / (303) 315-2227
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