Fall Conference Registration

Honoring Our Past, Shaping Our Future

25 Years of Professional Development for Women in Community Colleges

Date:: November 17th & 18th, 2011
Location:: Embassy Suites (near Washington Square in Tigard)
Cost:: $175 ($200 after 11/1/11)
Instructions:: Fill out the form and click the submit button below. It must be received electronically or by mail by 11/1/11 at 5 pm. Electronic submission is preferred.

AAWCC Fall Conference Registration: November 18th & 19th, 2010; Cost: $175

Accounts Payable Departments: See http://www.aawccoregon.org/fall-conference/success.html for payment options (online and by mail).

Fields labeled in Bold are required fields.

Contact Information

If someone other than the attendee(s) is coordinating registration, please provide their information here:

Contact:
Email:
Phone:

College

College:
Address:
City, State:
Zipcode:

Attendees Information

1. Name:
Title:
Email:
Phone:
Special dietary and/or accessibility needs? :

2. Name:
Title:
Email:
Phone:
Special dietary and/or accessibility needs? :

3. Name:
Title:
Email:
Phone:
Special dietary and/or accessibility needs? :

4. Name:
Title:
Email:
Phone:
Special dietary and/or accessibility needs? :

If you plan to pay by check, please print this registration form out before submitting, to accompany your check. Don't forget to Click submit to complete your registration and to see online and check payment information.

You will receive a confirmation of your PAID registration by e-mail. Paid registration means payment is received with a check or purchase order. By attending the conference, you are automatically a lifetime member of Oregon AAWCC.

Cancellations and Substitutions: Cancellations received up to five working days before the conference are refundable, minus a $25 registration service charge/processing fee. Please note that if you do not cancel within five working days prior to the conference and do not attend, you are still responsible for payment. Substitutions may be made at any time.