Two Day Workshop for Innovation Leaders and Facilitators
November 15th and 16th, 2011
Hosted by American Association of School Administrators
Arlington, VA 22203
Registration and Invoice Information
Please return this form to Marti Brigman Kaiser via e-mail Marti@InsideInnovationWorkshop.com or fax to 413-674-9792.
Payment: Check or Credit Card
Credit Card: Type: Number: Exp.:
Note: AMEX users: enter 4-digit code from front of card here ____________
Note: MC/VS users: enter 3-digit code from back of card here ____________
Name as on CC:
CC Billing Address (if different):
Schedule: 8:00 am to 5:00 pm each day.
Location: AASA Headquarters, 801 N. Quincy Street, Suite 700, Arlington, VA 22203 703-528-0700
(Located just outside of Washington, DC) www.aasa.org
Airports: Ronald Reagan Washington National Airport (accessible by Metro) & Dulles International Airport
(accessible by taxi/shuttle)
Hotels: Westin Arlington Gateway 801 Glebe Road 703-717-6200
Holiday Inn 4601 N Fairfax Drive 703-243-9800
Comfort Inn 1211 N Glebe Road 703-247-3399
Hilton Arlington Towers (closest to AASA) 950 N Stafford Street 703-528-6000
Dress: Business casual attire.
Cost: Once you send in the completed registration form, you will receive an invoice.
If paying by credit card, please complete the necessary information for processing.
Checks should be made payable to and mailed to:
International Thought Leader Network, Attn.: Todd Eckardt - 2128 Boll Street, Dallas TX 75204
*Program dates, fees, and faculty are subject to change. If a program is canceled, Inside Innovation Workshop will refund the program
tuition in full but is not responsible for travel, accommodations or other expenses incurred by the participant.