Conference Registration Form Seminar Choices Dietary Restrictions

							Conference Registration Form
Please use one form per person. Photocopy for additional registrants.

REGISTRaTIOn InfORmaTIOn                                                                                TO REGISTER
 CT Nonprofits Member          Non-Member                                                             Register online at
                                                                                                        www.ctnonprofits.org!
Attendee Name
                                                                                                        Or mail your registration
Title                                                                                                   information & payment to:
Agency Name                                                                                             CT Association of Nonprofits
Billing Address                                                                                         90 Brainard Road, Suite 201
                                                                                                        Hartford, CT 06114
City, State Zip
                                                                                                        Questions? Contact Us!
Phone Number
                                                                                                        Phone: 860-525-5080
Email Address                                                                                           Fax:    860-525-5088
                    Attendee e-mail required for each registration.

COnfEREnCE RaTES                                   PaYmEnT InfORmaTIOn                                  WhERE DID YOU hEaR
                                                                                                        abOUT CT nOnPROfITS?
Please circle the appropriate rate. Fees must be    Check enclosed, payable to Connecticut
paid in order for registration to be processed.      Association of Nonprofits.                          Training Catalog
                                                                                                         CT Nonprofits Website
                    Member       Nonmember          Credit Card—Please fill out the
                                                                                                         Nonprofit Advantage
                                                     information below.
Regular Rate           $95           $125                                                                Word of Mouth
                                                   * To receive the student rate, a copy of the          Other
Student Rate*                         $65             registrant’s Student ID must be enclosed.

CREDIT CaRD PaYmEnT                                                                                     CanCEllaTIOn POlICY:
Credit Card Type     MasterCard  Visa  Discover | Amount: $                                          Cancellation must be made by
                                                                                                        email to Donna Rowland at
Credit Card No.                                                                                         drowland@ctnonprofits.org.
Cardholder Name                                                                                         The attendee is still responsible
                                                                                                        for payment unless notice is
Expiration Date                                          Billing Zip                                    received by November 6, 2009.
                                                                                                        Substitutions are welcome.
Signature


Seminar Choices & Dietary Restrictions
Please register me for the following sessions! Space is limited and reserved on a first-come, first-served basis. Please check
only one seminar each for the morning and afternoon sessions, and indicate an alternate choice for each. ** Rates will not be
prorated for those declining to participate in the full day of offerings.


Morning Session:                                                       Afternoon Session:
Please check only one seminar & indicate an alternate choice.          Please check only one seminar & indicate an alternate choice.
 A » Hope & Hype on the Web                                                 »
                                                                        1 Why Brand Now? 5 Steps to Better Engage Donors,
 B » Build More Capacity with the Power of Collaborative                Volunteers & Society
   Relationships                                                        2 » Go Beyond Hello: Keep and Grow More Donors
        »
 C Adaptive Leadership:                                                3 » Forging Nonprofit Alliances: A Framework for
  Why the Worst of Times May Be the Best of Times                         Implementation
 I will not be attending the morning session. **                       4 » Telling Your Story on Your Terms
Alternate choice:                                                       5 » Panel on Volunteerism
                                                                        6 » 3 Steps to Enhance Your Emerging Leadership Impact
Lunch Menu:                                                             7 » Evaluating the Numbers: Building Financial Strategies
 Chicken Entrée                                                          for Hard Times
 I will not be attending the lunch and keynote address. **                  »
                                                                        8 Making Our Voices Heard: Grassroots Advocacy for
Dietary restrictions: Please explain for accommodation                   All of Us!
                                                                        I will not be attending the afternoon session. **
                                                                       Alternate choice: