Registration Form for May 27 and 28, 2010 Conference

Print and complete this form to register to attend the May 27 and 28, 2010 Tutor/Mentor Leadership and Networking Conference, to be held at Loyola University Chicago's Lakeshore campus. Exact location will be provided.

Submit one form for each person that you are registering.

Name:_____________________________________________

Title:_____________________________________________

Organization:_____________________________________

Address:__________________________________________

City:_________________State:________Zip:__________

Phone:_______________________

Fax:_________________________

Website:__________________________________________

E-mail*:___________________________________________

*By providing your email address, you agree to be added to a mailing list for important Conference announcements and information.  You can unsubscribe from this list at any time.

____ Please check to request a vegetarian lunch.

 

____ Please check to be added to the on-line attendee list which enables other contact participants to contact you via a form on the Conference Web site.  Your email address is not shared through this process.
 

Registration fees

Registration Fees (Register online (not open yet) or by mail):
____Two-Day registration - $100
____Thursday, May 27 Single day registration - $60 
____Friday, May 28 Single day registration - $60

Walk-In Registration Fees (Register the day of the Conference):
Single day registration - $75 (check or cash only)

Scholarships and group discounts are available.  Please contact us for scholarships or group rate information.

How will you pay for this registration?
__ Online via PayPal (open in October)
__ By Mail (check)
__ At the Door (cash or check only)

 

Please make checks payable to Cabrini Connections, Tutor/Mentor Connection and mail payment to Nicole White at

Cabrini Connections
Tutor/Mentor Connection
800 W. Huron
Chicago, IL 60642

Fax 312-492-9795

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.