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2008 Student Services Conference » Registration

Participant Information

Name:
Title:
Institution & Location:
Phone:
E-mail:
Supervisor's Name:
Supervisor's E-mail:

Additional Details

Arrival Date to Charlotte:
Departure Date from Charlotte:

Is this your first time attending this conference?
Yes No
Will you be attending the dinner entertainment event on Thursday, November 6, 2008?
Yes No
Please indicate the number of additional guests that you will bring to the dinner event (if applicable). Guests will be responsible for the additional cost per person. A notice will be sent to you with more details, amount, and date due.
Comments

Travel Information

Hotel accommodations are made through the IPD corporate office (no exceptions). IPD will be paying for accommodations for Wednesday, November 5th and Thursday, November 6th.

Additional Dates

I am requesting additional dates prior to and/or after the conference as follows:
Please use the field below to indicate whether you would like to extend your visit.

Check-in Date:
Check-out Date:

Cancellation Information and Acknowledgement

IPD is pleased to host your participation in this event; however, if you need to cancel your participation after reservations have been secured, any and all costs associated with your cancellation may be invoiced to your institution.

I acknowledge the hotel and cancellation policy stated above.