REGISTRATION FORM IAAP SUMMIT 2015 Registering for IAAP Summit 2015 is easy. Just follow this step-by-step guide. Step 1. You will need to submit your IAAP Summit 2015 registration and fees before making your hotel reservations. Step 2. Provide us your name, address, contact information and some easy demographic information, designed to help us make your IAAP Summit 2015 experience exceptional. Step 3. Decide if you’re registering for a full conference package (Part A) or a day-by-day package (Part B). If you are registering for a day-by-day package, refer to Part B of the form only. Step 4. If you register for the Premium meeting package select your preferred schedule for Saturday, July 25. Step 5. If you register for the Premium meeting package, please select your preferred Morning Marketplace Premium Session: Monday, July 27 or Tuesday, July 28. Standard meeting package registrants will have the opportunity to visit the Marketplace, Monday, July 27 in the afternoon only. Step 6. Support The Foundation of IAAP by attending their Celebration on Tuesday, July 28, 5:30 - 7:00 p.m. Select this optional event on Part C of the form. Step 7. If you are taking advantage of the Premium package, one ticket to the Closing Celebration: Dinner & Party is automatically included with your conference package. If you are bringing a guest, and are purchasing the Premium package, you will need to purchase an additional ticket (Part C). Closing Celebration: Dinner & Party tickets are not available if purchasing the Standard package or the dayby-day package. Step 8. All education sessions will be open seating on a first-come, first-served basis. Education sessions are being provided in tracks. Attendees can stay within one track or take classes in a variety of tracks. Additionally, the Snacks & Facts sessions will be by sponsor invitation only; determined at a later date. Step 9. Submit payment information. Step 10. Start planning your trip to IAAP Summit 2015! Connect with other attendees in the IAAP Web Community. You can also review the education session descriptions and book your airfare. Go to www.iaap-summit.org for more information. Step 11. Book your Louisville hotel reservation after receiving your IAAP Summit 2015 registration confirmation. The confirmation will include a lodging code to make your reservations at an official IAAP Summit 2015 host hotel. You will not receive the IAAP discounted hotel rate without using that lodging code. Questions? Please contact us at: Ph: 816.891.6600; Email: Summit@iaap-hq.org REGISTRATION FORM IAAP Summit 2015 Complete one form per registrant. Registration will not be processed without full payment in U.S. dollars. Send all mail to: q Home q Office Send all email to: q Home q Office q IAAP Member/ID Number______________________________________________________________ q Nonmember _________________________________________________________________________________________ Home Address _______________________________________________________________________________________ Job Title ________________________________________________ ________________ City State/Prov _______________________________________________________________________________________ Company Name _________________________________________________________________________________________ Country if not U.S. _______________________________________________________________________________________ Work Address/PO Box _________________________________________________________________________________________ Home Email _____________________________________ City _________________________________________________________________________________________ Business Email __________________________ ____________________ State/Prov ZIP/PC ________________________________________________ Business Phone _____________________________________ Country if not U.S. _______________________________________ Gender optional ________________________________________________ Home Phone _____________________________________ Fax q I DO NOT want my contact info shared with sponsors. _____________________ ZIP/PC ________________________________________________ Birth Date (mm/dd/yy) optional q Don’t include my email address in the conference registrant listing. q I prefer vegetarian meals. q I prefer vegan meals. q I prefer gluten-free meals. q I am allergic to seafood. q I have the following additional dietary restrictions: ______________________________________________________________________________________________________________________________________ Note: If dietary restrictions are not stated here, we cannot guarantee changes on-site. q I have special needs and may require accommodations to fully participate (IAAP will contact you). q Audio q Mobile q Visual q Other___________________________________________________________________________________________________________________ A. Meeting Packages Premium: Includes Pre-Conference Workshops, First-Timer Orientation (if a first-time attendee), Bootcamp, General Sessions and Keynotes, Town Hall Business Session, Education Sessions, Marketplace Morning Premium Sessions, Networking Lunch, Snacks & Facts (by Sponsor invitation), and the Closing Celebration: Dinner & Party. Standard: Does NOT include Pre-Conference Workshops, Bootcamp, Networking Lunch, or the Closing Celebration: Dinner & Party. Member Nonmember Premium package Member Nonmember Standard package Early bird $900 $1,200 $700 $1,000 Regular $1,000 $1,300 $800 $1,100 Ends 5/22/15 Pre-Conference Workshops and Bootcamp Preference (Available only with Premium meeting package) Premium package attendees can participate in a combination of education on Saturday, July 25, that will provide up to 6 IAAP CAP Recertification points. Please select your preference of sessions and we will do our best to accommodate your selection. q I prefer to attend the Bootcamp-Morning session (8:00 - 11:30 a.m.) and the Afternoon session “Time and Contact Management Using Outlook: Outlook for the Super User (1:30 - 5:00 p.m.) q I prefer to attend the Morning session (8:00 - 11:30 a.m.) “Time and Contact Management Using Outlook: Outlook Productivity” and the BootcampAfternoon session (1:30 - 5:00 p.m.) q I prefer to attend the Morning session (8:00 - 11:30 a.m.) “Time and Contact Management Using Outlook: Outlook Productivity” and the Afternoon session “Time and Contact Management Using Outlook: Outlook for the Super User” (1:30 - 5:00 p.m.) Marketplace Session Preference (Available only with Premium meeting package) Premium package registrants will have the opportunity to attend Marketplace on Monday or Tuesday morning. Please select your preference and we will do our best to accommodate your selection. q Monday Morning Premium Marketplace Session (9:30 a.m. - Noon) q Tuesday Morning Premium Marketplace Session (9:30 a.m. - Noon) Standard package registrants will have the opportunity to attend Marketplace on Monday afternoon, 2:30 - 5:00 p.m. Corporate Discount A company may receive one complimentary Premium package registration with four or more paid Premium package registrants from the same company. To qualify, registrations must be received at one time accompanied by IAAP’s Event Corporate Discount Form and one payment for all registrants. (An example of one payment is a check with total payment for all registrants). Corporate discount is subject to approval, one discount per company. Offer not available with online registration. No refunds available for canceled registrants who received the corporate discount. Available for full event registrants only. IAAP chapters and divisions can obtain the corporate discount for IAAP Summit 2015 only. International registrants (residing outside of the U.S. and Canada) are eligible for this discount. No other groups qualify as a company. REGISTRANT NAME ID NUMBER B. Single Day Registration Member $300 per day Nonmember $400 per day q Sunday Includes Opening General Session, Keynote, Town Hall, Business Session, and Morning and Afternoon Education Sessions q Monday Includes General Session, Morning and Afternoon Education Sessions, and Afternoon Marketplace Session q Tuesday Includes Morning and Afternoon Education Sessions q Wednesday Includes Closing General Session, Keynote, and Morning and Afternoon Education Sessions (copy total to meeting subtotals) Total Section B $________ C. Optional Events Registration q Tuesday The Foundation of IAAP Celebration $40 x quantity ________________ q Additional Charitable Contribution to The Foundation of IAAP q $10 q $15 q $20 q $25 q Other__________ Subtotal (The Foundation of IAAP Celebration plus any additional charitable contribution) __________ q Wednesday Closing Celebration: Dinner & Party guest ticket (only one available if purchasing the Premium package) (copy total to meeting subtotals) $125 Total Section C $__________ Meeting Subtotals My full meeting package rate from section A $_____________ My single day total from section B $_____________ My optional events total from section C $_____________ (this amount goes below for total enclosed in U.S. dollars) Grand Total $_____________ Online registration will provide a speedy confirmation by email. If you register by mail or email, you should receive a confirmation within three weeks of IAAP receiving your form. Payment Information Cancellations must be received by May 23, 2015 to be eligible for a refund (subject to a $100 Total Enclosed in U.S. dollars______________________________________________________________ q Check or Money Order Number________________________________________________________ administrative fee). Cancellations after this date are non-refundable. Credit Card: q Visa q MasterCard q Discover q American Express IAAP reserves the right to process refunds after the conference Card Number___________________________________________________ Expiration Date__________________ CSC Code____________ concludes. Transfer to another IAAP conference is available. Please see Name as it appears on card_____________________________________________________________ Billing ZIP/PC_____________________ www.iaap-hq.org/events/ events-policy for details. Authorized Signature (required for processing)_________________________________________________________________________________ Closing Celebration: Dinner & Party Table Reservations Once again, you will have the opportunity to reserve a table for the Closing Celebration: Dinner & Party. The money from the reserved tables will benefit Family Scholar House, Louisville, Ky. To reserve your table, click this link and fill out the form. I agree and acknowledge that I am undertaking participation in IAAP events and activities as my own free and intentional act and I am fully aware that possible physical injury might occur to me as a result of my participation in these events. I give this acknowledgement freely and knowingly and that I am, as a result, able to participate in IAAP events and I do hereby assume responsibility for my own well-being. I also agree not to allow any other individual to participate in my place. This acknowledgement includes my guest(s) participation (if applicable) in any evening events. IAAP plans to take photographs at IAAP Summit 2015 and reproduce them in IAAP communications and promotional material, whether in print, electronic or other media, including the IAAP website. By participating in IAAP Summit 2015, you grant IAAP the right to use image, photograph and biography for such purposes. All postings become the property of IAAP. Postings may be displayed, distributed or used by IAAP for any purpose. Mail To: IAAP Summit, 10502 N. Ambassador Dr., Ste #100, Kansas City, MO 64153-1291 Ph: 816.891.6600; Email: Summit@iaap-hq.org
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