Professional Documents
Culture Documents
Nade 2015 Registration Form Final 12 2 14
Nade 2015 Registration Form Final 12 2 14
http://www.nade.net/site/documents/tax_forms/W9_2014.pdf
Step One: Provide Registrant Information (Please print. Use one form per registrant.)
For Name Tag:
First name ________________________
Institution ___________________________________ State_____________________________
(Please check all that apply.)
First-Time Attendee ________
Chapter President_________
Emeritus Cabinet________
Kellogg Alumnus ________
SPIN Chair _______
FULL NAME:
Administrator ______
Committee Chair _______
Graduate Student _____
Presenter ________
TIDE Alumnus _______
______________________________________________________________________________________
PROGRAM: In what format would you like to receive the conference program? Default is PRINTED COPY.
____ Guidebook App ____ Printed Copy
PERMISSION: Do you authorize NADE to provide your contact information to exhibitors? (Default is YES)
____YES
____NO
ADDRESS: Which mailing address will you be providing? _____ Work address _____ Home address
_______________________________________________________________________________________
_______________________________________________________________________________________
______________________________________________________________________________________
CITY, STATE, ZIP: _____________________________________________________________________
COUNTRY: ______________________
PHONE: ________________________________FAX: ____________________________________
Email (required):
_______________________________________________________________________________________
Conference Transportation:
Bus transportation will be provided from the hotels to the TD Conference Center on a regular daily schedule.
Do you plan to use the conference transportation system? ___yes ____ no
Will you be driving a vehicle and/or riding with a colleague? ____yes ____ no
Individuals who join or renew their membership with conference registration are eligible to use
Categories A-D.
Only persons who have current membership in NADE (expiring on or after February 25, 2015) are
eligible to use Categories E-H.
**Please note: Registrants who select Categories E-H but whose membership cannot be verified as current
(expiration of 2/25/2015 or later) will be required to either: (1) pay non-member fees shown in Category, or
(2) join NADE and pay membership dues before their registration can be processed.
Online
Only
Jan 24-30
Postmark
after Jan 31
and on-site
$355
$380
$405
$255
$280
$305
$225
$250
$275
$225
$250
$275
Postmark
or Online
by Jan 23
Registration options
$295
$195
$195
$320
$220
$220
$345
$245
$245
$195
$220
$245
I. Registration ONLY, NON Member not joining at this time or LAPSED Member not renewing
at this time
$395
$420
$445
J. Registration ONLY, Single-Day Attendance (Choose ONLY one: ___ THU ___ FRI)
K. Registration ONLY, Single-Day Attendance (Choose ONLY one: ___ WED ___ SAT)
$195
$145
$220
$170
$245
$195
$145
$145
$145
$0
$25
$50
$50
$50
$70
$70
$90
$90
$50
$70
$90
$50
$70
$90
$50
$70
$90
Date
Fee
Registration Choice
Option
Option A - D
Option E - H
Option I
Option J or K
Option L or M
Option N - R
SUBTOTAL A:
_______
Pre-Conference Institutes
Institute
#1a
Institute
#1b
$275
____
$200
____
Institute
#2a
Institute
#2b
Wed, Feb 25
$50
____
Wed, Feb 25
FREE
____
$100
____
$100
____
$100
____
Wed, Feb 25
$100
_____
Wed, Feb 25
$100
_____
Wed, Feb 25
9 a. m. noon &
1:30 p.m. 4:30 p.m.
(must attend both
sessions)
$100
_____
Institute
#3
Wed, Feb 25
Institute
#4
Wed, Feb 25
Institute
#5
Institute
#6
Institute
#7
Institute
#8
Wed, Feb 25
Institute
#9
Institute
#10
Institute
#11
Institute
#12
Wed, Feb 25
$50
______
Wed, Feb 25
$50
______
Wed, Feb 25
$50
______
Wed, Feb 25
$50
______
Institute
#13
Institute
#14
Institute
#15
Institute
#16
Institute
#17
Wed, Feb 25
$50
______
Wed, Feb 25
$50
______
Wed, Feb 25
$50
______
Wed, Feb 25
$50
______
Wed, Feb 25
$50
______
$50
______
Institute
#18
Sat, Feb 28
8:30 am to 11:30 am
Institute
#19
Institute
#20a
Institute
#20b
Institute
#21
Sat, Feb 28
8:30 am to 11:30 am
$50
______
Sat, Feb 28
8:30 am to 11:30 am
$125
_____
Sat, Feb 28
8:30 am to 11:30 am
$70
_____
11:30 am to 6:00 pm
See
registration
item N - R
Sat, Feb 28
Wed, Feb 25
Included
_____
We, Feb 25
$50
_____
Fri, Feb 27
Included
_____
Fri, Feb 27
$50
_____
Fri, Feb 27
7:30 9:30 pm
Included
______
Fri, Feb 27
7:30 9:30 pm
Fri, Feb 27
7:30 8:45 am
Fri, Feb 27
7:30 8:45 am
Fri, Feb 27
Fri, Feb 27
Fri, Feb 27
7:30 8:45 am
7:30 8:45 am
7:30 8:45 am
$50
______
$40
$40
______
______
$40
$40
______
$40
______
$40
$40
$40
______
______
______
______
Conference Tours
Wed, Feb 25
2:00 to 5:00 pm
$30
______
Wed, Feb 25
11:00 am to noon
$10
______
Tues, Feb 24
2:30 to 6:00 pm
$310
______
Wed, Feb 25
Tues, Feb 24
Sat, Feb 28
10:00 am to noon
Full Day
Full day
$20
$135
$135
______
Thurs, Feb 26
5:00 pm
$10
______
Thurs, Feb 26
6:00 pm
$10
______
______
______
Lunch
$17
____
$17
____
$17
____
$17
____
$20
_____
$17
____
$17
____
$17
_____
$17
_____
$22
_____
$17
_____
$17
_____
$17
_____
$17
_____
$22
_____
$20
$15
$15
$50
______
______
______
______
SUBTOTAL B: _______
Step Five: Calculate and Submit Payment (NADE does not accept purchase orders)
___ Check:
___ Credit
______________________________________________________________________________________
City: __________________________________________ State: _______________ ZIP: ______________
Credit Card Number
______________________________________________________________________________________
Expiration Date on Card
Month: __________ Year: _________
Signature (required):
______________________________________________________________________________________
RECEIPTS: NADE provides a receipt to the registrant when the registrant arrives at the conference site. NADE
regrets that it cannot mail or fax receipts.
CONFIRMATION OF REGISTRATION: Registrations with payment postmarked or submitted online by January
23, 2015, will be confirmed by email to the registrant within 14 days of receipt, provided the registrant has included a
functional email address in his/her registration materials.
REFUND POLICY: Refund requests must be in writing and must be postmarked or emailed (office@nade.net) no later
than February 25, 2015. Refund requests postmarked after February 25, 2015 will not be honored. Please submit your
written request to NADE at the address shown below. No refund will be given for membership dues, institutes (unless an
institute is cancelled), food events, or other optional events. Approved refunds will be paid by check and will incur a $25
processing fee, which will be deducted from the approved refund amount before the refund check is written. Refund
checks will be mailed by the Conference Treasurer 4-6 weeks after the conference.
Late Fee
POSTMARK
ONLINE
On-Site Fee
The on-site fee is
charged
for all registrations
postmarked after
January 23, 2015.
IN PERSON
Cash, check, money order,
travelers checks,
MasterCard, Visa, or
Discover
Not applicable.
NADE Membership Requirement: Individuals who join or renew their membership with conference registration are
eligible to use Categories A-D. Only persons who have current membership in NADE (expiring on or after
2/25/2015) are eligible to use Categories E-H. Registrants who select Categories E-H but whose membership cannot be verified as
current (expiration of 2/25/2015 or later) will be required to pay (1) either non-member fees as shown in Category I or (2) join
NADE and pay membership dues before their registration can be processed.
Presenters: Presenters are required to register for the conference using one of the categories from A K. Presenters
are not eligible to register as Visitors (Category L). All presenters for Pre- and/or PostConference Workshops,
Concurrent Sessions, and Poster Sessions must be registered by the on-time registration deadline of January
23, 2015. If presenters are not registered by January 23, 2015, their session may be cancelled. *Note, if pre-conference
institute presenters will not be attending the conference after Wednesday, they must register using the Wednesday-only
registration, Category K. **Note, if post-conference institute presenters are only attending the conference on Saturday,
they must register using Category K.
Visitors to the Conference: Visitors to the conference must register using the visitor category (Category L). As
visitors, they will be permitted free admission to the Opening Reception on Wednesday, February 25; the breakfasts on
Thursday, February 26 and Friday, February 27; the Exhibit Hall area; the Friday Evening Extravaganza, and general
sessions. They may also purchase tickets for optional food events. The visitor category is not applicable to presenters,
exhibitors, moderators, or anyone planning to attend a concurrent session; these individuals must register in another
category.
Graduate and Undergraduate Students: Full-time students pay a reduced fee to attend the conference. NADE
encourages students to get involved with developmental education early in their professional careers. To qualify for the
reduced rate, students must submit a letter from the registrar or the dean of the college stipulating the student is
enrolled full-time in an education program. This letter must accompany the conference registration form. Graduate
students who are teaching full-time must pay the regular registration fees.
Adjunct Instructors: Adjunct instructors are encouraged to attend the NADE conference. To qualify for the reduced
rate, adjunct instructors must submit a letter from their academic dean stating that they are adjunct instructors. This
letter must be submitted with the NADE conference registration form. Adjunct instructors who are teaching for more
than one university or who are working full-time at one university and teaching part-time at another university must pay
the regular registration fee.
Do you have a question about?
the conference program? Contact Kitty Spires, spiresk@midlandstech.edu or Lisa Martin, Martin.L@ptc.edu.
special accommodations? Contact Mary Campbell, mary.campbell@gvltec.edu.
becoming an exhibitor? Contact Dawn Lee, dlee@csuniv.edu or Beth Valentine, evalentine@csuniv.edu.
becoming a moderator? Contact Janie Ivey, iveyj@sccsc.edu.
being a volunteer? Contact Lori Smalley, Lori.Smalley@gvltec.edu.
your registration? Contact office@nade.net.
Office use only:
Postmarked:
Check #:
Check Date:
Check Amount:
Check Acct Name:
Credit Amount:
Credit Acct Name:
____________________
____________________
____________________
____________________
____________________
____________________
____________________
Conf. Reg. #:
Confirmed:
__15--______________
____________________
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