Purchase order registrations must include an actual copy of the purchase order.
Please make checks payable to CLMS and mail to 6621 E. Pacific Coast Hwy, Suite 210
Long Beach, CA 90803 or fax to (562) 430-5607.
1. Registration Information
Information will appear on name badge. For additional group registrations (from same school only), attach a second sheet with full name of each participant.
Name:
School:
School Address:
City
State
Zip:
District:
Telephone:
555-555-5555
E-mail Address:
Required for confirmation
2. Membership Status:
Join now and SAVE on registration! If you are not sure of your membership status, please call (800) 326-1880 to verify. Incorrect membership designation may delay processing.
I am a CLMS member
I am not a CLMS member and I do not want to purchase membership at this time
I want to purchase an Individual Membership $60
(qualify for individual member rates below)
I want to purchase an Institutional Membership $295
(qualify for individual member rates OR team group rates below)
Purchase an Institutional Membership for $295 so every staff member can receive the member rate. See rates below.
3. Conference Rates
Membership will be verified prior to processing. Registrations from non-members who register at the member rate will not be processed. To purchase membership, see above.
CLMS Annual Conference March 12-15, 2009 * San Diego, CA
Special Two-Day Pass : $165 per person Seeconference pagefor activity details. Rate applies to CLMS members and non-members.
Choose which two back-to-back days you want:
:
Thurs/Fri
Fri/Sat
Sat/Sun
Full Conference Pass Early Bird Rate now good through conference.
$229 members $289 non-members
TEAM DISCOUNTS FOR MEMBER SCHOOLS*
SPECIAL DISCOUNT RATE:
5-14 from same member school $219 per person
15 or more from same member school $199 per person
* You must send all team registrations together to qualify for discount.
4. Ticketed Focus Sessions - $75 per session, per person- Save 25%
Check - Payable to CLMS ($30 fee for returned checks)
Official Purchase Order - A valid copy of the purchase order must be included to be processed.
Visa / MC - Card #
Exp
I authorize CLMS to bill my credit card for $
Cardholder name (please print)
Billing Address
Billing City
Billing State
Billing Zip
Authorized signature
Registration Instructions
(Only purchase orders or credit card orders may be faxed.)
Regular Registrations - must be received with payment by mail or FAX in order to be processed.
On-Site Registration - after the "No Refund" date (see cancellation policy), you must register on-site (there is no additional cost). Payment by cash, check, purchase order, Visa or Mastercard will be accepted.
To ensure you have met strict payment deadlines, please:
Fax your credit card order or purchase order at least three days before the "No Refund" date (see cancellation policy), then call CLMS at (562) 430-3136 to confirm your fax has been received.
If you must mail a check, please allow 10 days for mail delivery before the "No Refund" date (see cancellation policy). CLMS is not responsible for delayed mail.
Cancellations must be in writing and faxed to (562) 430-5607. Please call as soon as you fax your request to verify receipt at (562) 430-3136. A colleague may substitute for you anytime to avoid cancellation penalties.
Prior to 1/29/09 - Full refund
1/29/09 to 2/18/09 - $60 fee
2/19/09 to 2/26/09 - 50% fee
A
fter 2/26/09 - No refund, but a colleague may substitute
