Print this form, fill in, and mail to address below. Please
Register Early. Conference limited to first 500 registrants.
| 1 |
$325 |
Early Bird Conference
Registration (for April 1-2, 2011) if postmarked on/before March 11,
2011 |
| 1 |
$375 |
Conference
Registration (for April 1-2, 2011) if postmarked on/after March 12, 2011 |
| 1 |
$145 |
Pre-Conference
On Course Workshop Registration (for March 31, 2011) Spaces Limited-CHECK
ONLY ONE |
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1
Pre-Conference Option #1: One-Day On Course Workshop |
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1
Pre-Conference Option #2: Great Teachers of On Course Seminar |
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1
Pre-Conference Option #3: On Course Leadership Seminar |
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Total (Enclose check
or
purchase order payable to On Course...sorry, no credit cards) |
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SAVE MORE...Groups of
10 or more click HERE... Groups of 25 or more, click
HERE. |
| Name _________________________________ |
Please make CHECK
or PURCHASE ORDER payable to:
On Course |
| First name for nametag
___________________ |
|
| Position/Subject
________________________ |
Mail to: |
| School _________________________________ |
On Course
Conference |
| Address________________________________ |
61
Renato Court Suite 21A |
| City __________________________________ |
Redwood
City, CA 94061 |
| State/Province
_________________________ |
|
| Zip/Postal Code
_________________________ |
QUESTIONS? Click
here to send an email |
| Telephone (Day)
_________________________ |
|
| email address ___________________________ |
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CONFIRMATION: Upon receiving your
workshop registration and payment, we'll send you a
confirmation e-mail.
IMPORTANT NOTE:
Hotel accommodations are not included in the conference registration. Make your
room reservations directly with the hotel as soon as possible. See
special rates and contact information at the Main
Conference Page.
REFUND POLICY:
ON COURSE AMBASSADORS ONLY:
A special pre-conference dinner has been arranged for all On Course Ambassadors
on Thursday, March 31, 2011, (6:00-9:00 pm) at the Hilton Long Beach Hotel. The
dinner is free for OCAmbassadors; guests may be invited at a cost of $45.00 per
person. Please RSVP by checking box below:
| 1
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I am an On Course Ambassador
and will be attending the dinner. |
| 1
|
I am an On Course Ambassador
and will be attending the dinner with ___ (number) guests.
(Please enclose $45.00 per guest) |
| 1 |
I am an On Course Ambassador
but will be unable to attend the
pre-conference dinner. |
CONFERENCE SESSION PRESENTERS
ONLY: A special dinner honoring session presenters has been arranged
for Friday, April 1 (6:00- 8:00 pm) at the Hilton Long Beach Hotel. The
dinner is free for conference session presenters; guests may be invited at a
cost of $45.00 per person. Please RSVP by checking box below:
| 1
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I am a Session Presenter and will be attending the dinner. |
| 1
|
I am a Session Presenter
and will be attending the dinner with ___ (number) guests.
(Please enclose $45.00 per guest) |
| 1 |
I am a Session Presenter
but will be unable to attend the dinner. |
PLEASE TELL US HOW YOU HEARD ABOUT
THE ON COURSE NATIONAL CONFERENCE (check all that
apply):
| 1
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I read about it in the On
Course e-Newsletter. |
| 1
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I received an email advertising
the conference. |
| 1
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I heard about it on the On
Course Ambassadors' listserv. |
| 1
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I heard about it at an On
Course I Workshop. |
| 1 |
I discovered the On Course web
site while searching the Internet. |
| 1
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A colleague recommended the
conference. __________________________ |
| 1
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I read about it on a listserv I
belong to. Listserv: ____________________ |
| 1
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I teach a class that uses the On
Course text. |
| 1 |
Other
__________________________________________ |
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