Registration Form
Registration is completed in three steps:
Step 1 - Registration: Print and complete the registration form separately for each person attending the conference.
Step 2 - Payment: Pay for one or more registrations. (Send by mail or pay at the door.)
Step 3 - Confirmation: Check your email for your email confirmation letter. If you do not receive an email within two weeks of your registration, please contact us.
If you have any questions during this process, please contact us at 312-492-9614.
Please print, complete and mail/fax one registration form for each person attending the conference.
Contact Information
First Name*:__________________ Last Name*: _____________________
Title:_______________________________________________________
Program/Department: _________________________________________
Organization/Company:________________________________________
Address:____________________________________________________
City:_____________________ State:________ Zip:________________
Phone:_______________________
Fax:_________________________
Website:__________________________________________
E-mail*:___________________________________________
*Your email address will be used to confirm your registration. You will also be added to a mailing list for important May 2010 Conference announcements and information. You can unsubscribe from this list at any time. We will not share, sell, or spam your email address.
Lunch Options
__
Please check this box to request a vegetarian lunch.
Online Attendee List
We maintain an online list of people attending our conference. This list is intended to help attendees connect with other attendees. With your permission, we will publicize your full name, organization, city and state only. People will be able to contact you via a form but your email address will not be revealed.
__ Yes, please add me to the online list of attendees for this conference.
What days will you be attending the Conference?
__ Both Days
__ Thursday, May 27 ONLY
__ Friday, May 28 ONLY
How will you pay for this registration?
__ Online via PayPal
__ By Mail (check)
__ At the Door (cash or check only)
Questions or Comments:
Please mail/fax your completed registration form, along with your payment, to:
Cabrini Connections
Tutor/Mentor Connection
800 W. Huron
Chicago, IL 60642
Fax: 312-492-9795
Make checks payable to Cabrini Connections.
Please Note: With advance written notice (fax or email), we will refund the registration fee, less an administrative cost of $25 per day registered. There will be NO refunds for "no shows" on the day of the Conference and you will be responsible for the full registration fee.
Thank you for your registration. Registrations received by May 19, 2010 will be confirmed via fax or email.
Cabrini Connections is a 501 (c) (3) tax-exempt non-profit. Our tax ID # is 36-3893431.
