Please complete a registration form for each member of your institution who will be attending the conference.  The registration fee is $60.00 and will include breakfast, lunch, snacks and parking for Friday, May 14th.  A confirmation will be sent upon receipt of your completed registration form and payment.  All forms and fees should be received by May 10, 2010.

 

Registration Form

 

Send to:

 

Bernice Posey

Attn: Annual AZ Air Conference Materials

University Office of Institutional Analysis – Mail Code 5304

Arizona State University

P.O. Box 875304

Tempe, AZ 85287-5304

 

 

Please print or type:

 

Name:              _________________________________________________________________

 

Title:                _________________________________________________________________

 

Institution:      __________________________________________________________________

 

Address:          _________________________________________________________________

 

City/State/Zip:            ____________________________________________________________

 

Phone:             _________________________________________________________________

 

Email:              _________________________________________________________________

 

 

Please indicate below the sessions/meetings you will be attending:

 

Pre-conference meetings, Thursday, 13^th of May, AZAIR Conference Sessions, Friday, 14th May

 

 ___   Perkins Reporting                                                 ___  Morning Sessions

 

 ___   ASSIST Users Meeting                                        ___   Lunch

 

 ___   ASSIST Steering Committee Meeting                   ___   Afternoon Sessions

 

 ___   IPEDS Special Topics - Open Forum

 

21st Annual AZ AIR Conference

http://azair.org/

 

Payment Options:

▪    Personal Checks (payable to AZ AIR)

	▪    Purchase Orders (federal tax # 860196696)
	▪    ASU Advantage Accounting System
	Account: YV71361 Vender Code: AZAIR Conferences Revenue Object Code: 5530.16 Expenditure Object Code: 7390.16 Fund Code: 7000 Az Federal Tax ID# (If paying by PO) 860196696

 

Cancellations and refunds:

Cancellations must be received via email (send notification to bernice.posey@asu.edu) to receive a refund minus a $20 cancellation fee.  Notification must be received by May 10, 2010.  Refunds will be issued within 30 days of written notification.  No-shows are not eligible for a refund. 

 

 

 

Type of Card:
Visa___	MC___	Discover___

 

           

Name of Card Holder: ________________________________

 

Credit Card Number: _________________________________   Expiration Date: ______

 

Local Phone Number: ______________________    Payment Amt: _________________

 

Card Holder Signature:  ______________________________Date: _________________