This form is best viewed with Internet Explorer where you can fill in this form and print it out. If you are using Netscape Navigator, it is better to download the registration form or print this page out to fill in. Mail the completed form to The National Association of PARTNERS IN EDUCATION, 901 N. Pitt Street, Suite 320, Alexandria, VA 22314 or fax it to: 703-836-6941. You may download a PDF of the registration form to fill in later. You will need Acrobat Reader to read the PDF file.
National Association of PARTNERS IN EDUCATION Member
INTERNATIONAL PARTNERSHIP NETWORK Member
Name:
Organiztion:
Title:
Address:
City:
State
Postal Code:
Country:
Work Phone:
(Including Country Code):
Fax:
E-mail Address:
Special Needs:
Category:
Business Chamber Government Higher Education K-12 Education
Non-Profit Other
Early:
Until 9/30/02
Standard:
10/1/02 to 11/7/02
Late:
11/8/02 to On-site
Registration Fees
Full Registration includes 2 continental breakfasts, 2 luncheons, 1 dinner, and 1 reception.
Thursday only includes breakfast, lunch and dinner.
Friday only includes breakfast and lunch.
Become
a member now and save $125 on your Summit registration!
By joining now, you will qualify for the member registrataion rate and receive all the benefits of membership. check the category below and fill out membership form before proceeding with registration.
Associate (Teacher or Counselor) $75
Professional $100
Corporate $500 (up to 10 Symposium member registration rates)
Institutional/Small Business $300 (up to 10 Symposium member registration rates)
Summit Poster Session:
Yes, we want to present our partnership during the Summit poster session at no extra charge.
Summit Marketplace
Yes, we want to showcase our partnership in the Summit Marketplace at no extra charge. Information about Marketplace and Poster Session opportunities will be available on this website in April.
Payment must be made in US dollars.
Make checks payable to National Association of PARTNERS IN EDUCATION.
Visa or MasterCard #:
Expiration Date:
Cardholder's Name:
Signature:
Mail this form to: National Association of PARTNERS IN EDUCATION, 901 North Pitt Street, Suite 320, Alexandria, VA 22314 USA or fax it to: 703-836-6941.
Cancellation Policy: Cancellations will be accepted and fees refunded (less $100 cancellation fee) upon written request, postmarked or faxed by October 21, 2002. No refunds will be granted after this date.
Lodging: A Special Summit Rate of $199 plus tax per night for single or double occupancy is available until October 21, 2002, at the Marriott Wardman Park Hotel, 2660 Wardman Road, NW, Washington, D.C. 20008-4106. Phone: (202) 328-2000. Please call 1-800-228-9290 to make reservations.
Transportation: Inglewood Travel Agency has arranged discounts with several airlines. Contact them by telephone at 1-800-873-6446 (inside United States only) or E-mail at GlobalSummit@inglewoodtravel.com.