California League of Middle Schools

CLMS Conference Registration

To register, print the application below or copy it to your word processor. Be sure to review the cancellation policy. PLEASE USE ONE FORM PER PERSON.

Purchase order registrations must include an actual copy of the purchase order.
Please make checks payable to CLMS and mail to 6615 E. Pacific Coast Hwy, Suite 120
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: _________________________________________________________

E-mail Address: _____________________________________________________

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

School Safety Symposium

$259 members $319 non-members

Summer Institutes

$269 members $329 non-members

Maui, Hawaii * July 8-11, 2008

Indian Wells, CA * July 27-29, 2008

4. Payment

1. Total Conference Fees: $_________________________

2. Membership Fees (if any): $ _______________________

Total Enclosed (add lines 1 & 2): $__________________

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) __________________________________________

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.

DO NOT both fax and mail payment information

Cancellation Policies

Cancellations must be in writing and faxed to (562) 430-5607. Please call as soon as you fax your request to verify receipt of cancellations at (562) 430-3136. A colleague may substitute for you at anytime to avoid cancellation penalties.

School Safety Symposium
Prior to 4/7/08 - Full refund; 4/7/08 to 4/13/08 - $60 fee
After 4/13/08 - No refund, but a colleague may substitute

Summer Institutes
Maui: Prior to 6/10/08 - full refund; 6/10/08-6/24/08 - $60 fee; after 6/24/08 - no refund.
Indian Wells: Prior to 6/27/08 - full refund; 6/27/08-7/11/08 - $60 fee; after 7/11/08 - no refund.