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REGISTRATION FORM:
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Note that this form cannot
be submitted online. Enter your registration
information below,
print this form and mail
or fax it to The Collaboration at the address below.
Please fax credit card registrations ONLY.
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EARLY BIRD POSTMARK DEADLINE: JANUARY 22, 2007 Conference fee includes Friday lunch and reception; Saturday continental breakfast and breaks, and all programming and session materials. Separate registration required for preconference workshops, Faculty Developers’ Breakfast Session, and MSI Roundtable. Registration is complete on receipt of full payment; sorry, we cannot accept email registrations, purchase orders, or split registrations. Fax registrations accepted for credit card registrations only. Refer to page 6 for refund policies. To register for the conference, please return this form with your check or money order payable to The Collaboration or with your credit card information.Note: *Other Affiliate Members are institutions outside the five-state region of Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin that are not Minority-Serving Institutions. **The group discount applies to full conference faculty or staff registrations from member institutions only. To receive the discount, all registrations must be submitted together by the faculty development coordinator, along with the cover sheet listing all participants; and accompanied by payment in full. ***To qualify, attach your completed registration for the “Innovations” conference. May not be used together with group discount.
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CONFERENCE REGISTRATION FEES Click here to see if your institution is a member.
CONCURRENT SESSION SELECTIONS Concurrent Session I - Friday, 1:45-3:00
p.m. (Choose one.) Concurrent Session II - Saturday, 3:30-4:45
p.m. (Choose one.) Concurrent Session III - Saturday, 8:00-9:15 a.m. (Choose one.) Concurrent Session IV - Saturday, 9:45-11:00 a.m. (Choose one.) Thank you!
Print form and mail or fax to:
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