NECC 2008 Registration Form

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							                                                            NECC 2008 Registration Form
                                                            Henry B. Gonzalez Convention Center • San Antonio,Texas



NECC 2008 Registration Timeline
•	 Super	Early-Bird	by	March	31                         attendee information
•		 Early-Bird	by	May	1
•		 Mail	registration	by	June	13                            First Name                                                      Last Name
•		 Web,	phone,	and	fax	registration	
    open through June 18                                    Job Title
•		 Onsite	June	28–July	2
Conference Cancellations
                                                            School/Organization/Company
•	 Accepted	in	writing	through	June	23.
				A	$99	fee	will	apply.	Student,	Retired	
                                                            Address (Home/Work—please circle which)
	 Educator,	and	One-Day	registration	
    cancellation subject to $59 fee.
Fax Registration                                            City                                                     State/Province     ZIP/Postal Code   Country (if not U.S.)
1.541.346.3545
Mail-in Registration                                        Day Phone
NECC 2008
1277 University of Oregon                                   Cell/Evening Phone
Eugene,	OR	97403-1277
Questions?                                                  Fax Number
Contact the Registration Office
1.541.346.3537	or	1.800.280.6218
                                                            E-mail Address
neccreg@iste.org

additional info
      	Please	exclude	my	name	and	postal	address	from	third-party	special	deals,	new	products,and	service	offer	mailings.	ISTE	does	not	release	
   or sell e-mail addresses to outside entities.
   I would like more info about . . .     Volunteering at NECC           Academic/Non-academic Credit
   Other         	This	is	my	first	NECC.	      I will need accomodations for an ADA disability.
   I am a...          Full-time student       	Retired	Educator	         Presenter                 		Member	of	an	ISTE	affiliate	      	
                      Volunteer               	Member	of	a	group	of	10	or	more	attendees.	      					Affiliate Name: _________________________


conference registration                                                                                                                   ISTE member rate*
    *Note: Your ISTE membership must be current through June 29, 2008, to qualify for ISTE member pricing.
                                                        By March 31          Through May 1            After May 1
                                                                                                                                             Your membership must be current
                                                                                                                                             through	June	29,	2008.	If	your	
      	ISTE	Member . . . . . . . . . . . . . . . . . . . . . $205. . . . . . . . . . $225 . . . . . . . . . $255     $________
                                                                                                                                             membership will expire prior to this
       Member number: ______________________ Expiration Date: _______________                                                                date please renew below in order to
       Please check box if you wish to decline the ISTE membership:                                                                          receive	the	ISTE	Member	rate.
       General Public . . . . . . . . . . . . . . . . . . . . $285. . . . . . . . . . $305 . . . . . . . . . $335	   $________
       (includes ISTE membership)                                                                                                              I want to renew my ISTE
      	Group	of	10	or	more	ISTE	Members . . . $205. . . . . . . . . . $205 . . . . . . . . . $205                    $________                 membership for $79.
       Member number: ______________________ Expiration Date: _______________                                                                  (1	year	Individual,	U.S.	only)
       Group Contact Name: _______________________________________________                                                                     If you need an alternate ISTE
       Group of 10 or more Nonmembers . . . . $285. . . . . . . . . . $285 . . . . . . . . . $285                    $________                 membership category please
                                                                                                                                               contact us.
       (includes ISTE membership)
       Group Contact Name: _______________________________________________
      	Presenter	and	ISTE	Member . . . . . . . . . $205. . . . . . . . . . $205 . . . . . . . . . $205               $________            guest registration
       Member number: ______________________ Expiration Date: _______________                                                                Allows entrance into the Opening
       Presenter Nonmember . . . . . . . . . . . . . . $285. . . . . . . . . . $285 . . . . . . . . . $285           $________               Reception	and	the	Exhibit	Hall	only.	
       (includes ISTE membership)                                                                                                            Does not include attendance to sessions
      	Volunteer	and	ISTE	Member . . . . . . . . . $205. . . . . . . . . . $205 . . . . . . . . . $205               $________               or	workshops.	Students	under	16	and
       Member number: ______________________ Expiration Date: _______________                                                                registered for NECC may explore the
                                                                                                                                             Exhibit Hall when accompanied by an
       Volunteer Nonmember . . . . . . . . . . . . . . $285. . . . . . . . . . $285 . . . . . . . . . $285           $________
                                                                                                                                             adult registrant.
      (includes ISTE membership)                                                                                                                I would like to bring a guest for a
      	One-Day	Registration. . . . . . . . . . . . . . . $135. . . . . . . . . . $150 . . . . . . . . . $175         $________                  fee of $75
        Indicate Day:    Monday              Tuesday            Wednesday                                                                    ____________________________
      	Retired	Educator . . . . . . . . . . . . . . . . . . $125. . . . . . . . . . $125 . . . . . . . . . $125      $________               Guest Name
       Full-Time Student . . . . . . . . . . . . . . . . . . $125. . . . . . . . . . $125 . . . . . . . . . $125     $________
                                                                                                                                                                          page 1 of 2
Attendee Name: ______________________________________________________________________


conference workshops                                                                                                   demographics
                                                                                                                       Job Function: (choose one)
                                       By May 1              After May 1         Please note code numbers for
                                                                                                                          Administrator
                                                                                 selections in order of preference.
 Half-Day Workshops. . . . . . . . . . . . . $99. . . . . . . . . . . . $109                                              Computer Lab Teacher
                                                                                 Workshops are available on a
 Full-Day Workshops . . . . . . . . . . . . $199. . . . . . . . . . . . $219     first-come	basis.	                       Curriculum Specialist
 Two-Day Workshops . . . . . . . . . . . $399. . . . . . . . . . . . $439                                                	library	Media	Specialist
                                                                                                                          Staff
                                              First Choice       Second Choice       Third Choice
                                                                                                                          Student
 Saturday & Sunday (2 days)                 ____________          ____________      ____________       $________          Teacher Educator/Staff Developer
 Saturday	Full-Day,	8:30	am–3:30	pm         ____________          ____________      ____________       $________          Teacher/Faculty
                                                                                                                          Technology Coordinator/Facilitator
 Saturday	Morning,	8:30–11:30	am            ____________          ____________      ____________       $________          (primarily infrastructure)
 Saturday	Afternoon,	12:30–3:30	pm          ____________          ____________      ____________       $________          Technology Coordinator/Facilitator
                                                                                                                          (primarily instructional)
 Sunday	Full-Day,	8:30	am–3:30	pm           ____________          ____________      ____________       $________
                                                                                                                          Technology Coordinator/Facilitator
 Sunday	Morning,	8:30–11:30	am              ____________          ____________      ____________       $________          (both infrastructure & instructional)
 Sunday	Afternoon,	12:30–3:30	pm            ____________          ____________      ____________       $________          Other

 Monday	Morning,	8:30–11:30	am              ____________          ____________      ____________       $________       Level: (choose one)
                                                                                                                          Preschool               Industry
 Monday	Afternoon,	12:30–3:30	pm            ____________          ____________      ____________       $________
                                                                                                                          Elementary              Community College
 Monday	Full-Day,	12:30–7:30	pm             ____________          ____________      ____________       $________         	Middle	School	          College of Education
 Monday	Evening,	4:30–7:30	pm               ____________          ____________      ____________       $________          Secondary               College/University
                                                                                                                         	Pk-12	                  Government
 Tuesday	Morning,	8:30–11:30	am             ____________          ____________      ____________       $________          Self-Employed           Other
 Tuesday	Afternoon,	12:30–3:30	pm           ____________          ____________      ____________       $________       Greatest Scope/Responsibility: (choose one)
 Tuesday	Full-Day,	12:30–7:30	pm            ____________          ____________      ____________       $________         Home School           City
                                                                                                                         Classroom            	County/Region
 Tuesday	Evening,	4:30–7:30	pm              ____________          ____________      ____________       $________
                                                                                                                         Department            State/Province
 Wednesday	Morning,	8:30–11:30	am           ____________          ____________      ____________       $________         School                National
                                                                                                                         District             	Multinational
                                                                    TOTAl	WORkSHOP	FEES                $________         Other/Not Applicable


                                                                                                                       payment information
special conference events                                                                                              A	credit	card	number,	P.O.,	or	check	must	
                                                                                                                       accompany	this	form.	Make	checks	payable	to	
                                                                                                                       NECC 2008. U.S. funds only.
    SIGIVC Forum—Sunday,	June	29,	10	am–1	pm                                                $20     EIVC   $________   Federal	Tax	ID#:	93-0746782
    SIGTC Forum—Sunday,	June	29,		1–4	pm                                                    $20     ETC    $________      Pay by Check
    SIGTel Forum—Sunday,	June	29,	1–4	pm                                                    $10    ETEL    $________      Pay by Credit Card
    ABC’s of Advocacy: Make Your Voice Heard!—Sunday,	June	29,	                                                               	MasterCard			 Visa        Exp.________

 			1:30–5	pm	                                                                              $69	 EABC	 $_______        ______________________________________
                                                                                                                       Account Number
    SIGCT Forum—Monday,	June	30,	7:30–10:30	am                                              $20     ECT    $_______
                                                                                                                       Your Credit Card’s CVV2 Number:___________
    SIGHC Forum—Monday,	June	30,	10	am–12	noon                                              $20     EHC    $_______
                                                                                                                       ______________________________________
    Refresh the NETS for Administration—Monday,	June	30,	1–4	pm	                             $0	    ENR	 $_______      Cardholder Name (please print)
    SIGILT Forum— Monday,	June	30,	1–4	pm                                                   $20     EILT   $_______    ______________________________________
                                                                                                                       Cardholder Signature
    SIGMS Forum—Tuesday,	July	1,	10:30	am–12:30	pm	                                          $0	    EMS	 $_______
                                                                                                                          Pay by Purchase Order
    SIGTE Forum—Tuesday,	July	1,	10:30	am–12:30	pm                                          $10     ETE    $_______
                                                                                                                       ______________________________________
    SIG1to1 Forum—Tuesday,	July	1,	1–4	pm                                                   $25     ETF    $_______    P.O. Number
    Digital Equity Summit & Luncheon—Tuesday,	July	1,	10:30	am–3	pm                         $50     EDS    $_______    ______________________________________
                                                                                                                       Billing	Contact	Name
    Technology Leadership Forum—Wednesday,	July	2,	8	am–12	noon                             $50    ETLF    $_______
                                                                                                                       ______________________________________
    Online Learning Institute—Wednesday,	July	2,	8	am–5	pm                                 $99*     EOLI   $_______    Phone

 					*After	May	1,	$125                                                                                               ______________________________________
                                                                                                                       Company Name
    SIGDE Forum—Wednesday,	July	2,	10	am–12	noon                                            $20     EDF    $_______
                                                                                                                       ______________________________________
                                                                                                                       Billing	Address

                                                                               TOTAL EVENT FEES            $_______    ______________________________________
                                                                                                                       City              State
                                                                                                                       ______________________________________
                                                                                                                       Zip/Postal Code   Country (if not U.S.)

Previous Page $______ + WorkshoP Fees $______ + event Fees $______ = total ConFerenCe Cost $________
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