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Online Conference Registration

 

2007 FACCC EI Conference:
Get Into Gear

October 19 - 20, 2007

Hilton Pasadena Hotel

** TODAY is the last day to register online!
(Walk-in registration will be accepted on-site)

YOUR INFORMATION:

Name
Badge Name
(if other than above)
Address
City, State, Zip
Phone
Cell
E-mail
College
Discipline

DAYS ATTENDING (Check all that apply):

MEMBERSHIP STATUS:
Friday Saturday
I am a FACCC Member (discounted rate)

I am not a FACCC Member

I would like to join FACCC today and pay member
rate. (Please fill out and return Membership Card)

SPECIAL ACCOMODATIONS REQUESTED:
(hearing impaired, vegetarian, etc.)

LODGING:
Discounted room rates are available with the Hilton Pasadena Hotel . Be sure to mention
the FACCC EI Conference when placing your reservation. The deadline to reserve a room
at the discounted rate is October 8, 2007.
Please note that after this date the group rates
will no longer be available. Room rates are $129 to $179/night.

PAYMENT AMOUNT: $
(See fee schedule below*)

PAYMENT METHOD:

VISA

Mastercard

Check
(Make payable to FACCC EI and mail to
1823 11th St, Sacramento, CA 95814.)

Name on card:

Card # - - -
Exp. Date

FEE SCHEDULE:

REGISTRATION DATE

FACCC MEMBER
FT / PT

NON MEMBER
FT / PT

Full and Onsite Price
After Sept 15, 2007

$199 / $125

$400 / $175

*Attending only one day? If attending on Friday only, pay 60% of fee; Saturday only, pay 50% of fee.

QUESTIONS?

Please contact the FACCC Office at info@faccc.org or (916) 447-8555.



(Please wait for a verification message that your registration was sent.)

REQUESTS FOR REFUNDS MUST BE SUBMITTED IN WRITING AND POSTMARKED PRIOR TO SEPTEMBER 21, 2007.
PLEASE DIRECT ALL REFUND INQUIRIES TO JANET OROPEZA, ohmitey1@aol.com OR FAX TO (916) 447-0726.

You may also print and mail this form to: FACCC-EI, 1823 11th Street, Sacramento, CA 95814 - or fax to (916) 447-0726.

DOWNLOAD REGISTRATION FORM PDF

 

 


 

| 1823 11th Street | Sacramento, CA 95814 | 916.447.8555 | Fax 916.447.0726 | info@faccc.org | e-mail the webmaster