Southeastern Association for Employment in Education
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Annual Conference of the Southeastern Association for Employment in Education
KSU Center, Kennesaw University; Kennesaw, GA
1/27/2010 to 1/28/2010
Please complete the online registration form carefully and proofread before hitting the "Submit" button. The submitted information will be used to automatically create a Directory of Conference Registrants.
Questions about this registration form or registration payments? Contact Karri Murray , 704-687-2231 or
kkmurray@uncc.edu
Registrant Information
Courtesy Title:
Dr.
Mr.
Mrs.
Ms.
First Name:
Last Name:
First Name/Nickname for Badge:
Position Title:
Organization:
Street Address:
City:
State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
US Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip
Phone:
Fax:
Email:
Additional Information
Are you a new SAEE member?
Yes
No
Please provide the name of the member
who referred you (if applicable):
Is this your first SAEE Conference?
Yes
No
Conference Buddy
Returning Conference Attendees:
Are you willing to be a "conference buddy" to a new member throughout the 2010 SAEE Conference?
Yes
No
Conference Registration
Includes all conference programs and workshops, receptions, meals, and breaks.
Not a SAEE member? Visit www.saee.org and join SAEE for $50. Then return to this form, and register for the conference as a member. You'll save $25!
If you are a recruiter who plans to attend the SAEE Job Fair, please complete the separate job fair registration form.
Your registration is not complete until your registration fee is received.
Registration Fee (deadline 01/26/10)
SAEE Member Conference Only
$100
Non-Member Conference Only
$125
SAEE Membership Only
$50
SAEE Membership and Conference
$150
Refund Policy
All cancellations and requests for refunds must be made
here
.
50% refund before January 13, 2010.
No refunds after January 13, 2010.
All refunds will be issued after the conference.
Payment Method
Based on the registration information
provided, the total amount due is:
Payment Method
Online
Check
Money Order
*If you select "Online", the confirmation page (after submitting this form) will include a link to our payment screen!
Make checks payable to SAEE. SAEE Federal ID # 22-6070-556
Send payment and a copy of your invoice to:
Vicki G. Hardin, Assistant Director
Professional Practice/Volunteer Services Dept. of Career Services University of West Georgia
363 Parker Hall
Carrollton, GA 30118-0001
Email:
vhardin@westga.edu
Phone: 678.839.6630
Fax: 678.839.6432
http://careerweb.westga.edu
© 2010 SAEE. All rights reserved.
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