Document Sample
                                                                             Methods of registration
                                                                             • By e-mail:
Registration fees                                                            • By fax: 202/783-7207
Member rates apply to staff of current ASTC-member institutions only.        • By mail: ASTC, Department 41, 1025
                                                                             Vermont Avenue NW, Suite 500, Washington,
         Early Bird registration deadline August 26, 2011                    DC 20005-6310, U.S.A.
               ASTC Member: $550Nonmember: $670
                                                                             Due to the volume of forms received, ASTC
                                                                             cannot confirm receipt of faxed or mailed
       Advance registration deadline September 23, 2011
                                                                             forms. Please allow at least seven business
             ASTC Member: $625Nonmember: $745                               days from receipt of your form for
                                                                             acknowledgment of registration and receipt.
          Onsite in Baltimore after September 23, 2011
              ASTC Member: $755Nonmember: $875                              ►Payment method: Full payment must be
                                                                             received with your registration form.
Full Conference Registration for the 2011 ASTC Annual Conference             Registration forms with fees paid by credit
includes:                                                                    card can be e-mailed to
                                                                             or faxed to 202/783-7207, attention: ASTC,
       All Sessions/Workshops without a listed fee
                                                                             Department 41. Checks must be drawn on a
       Two-day Exhibit Hall                                                  U.S. bank in U.S. dollars. Do not send cash or
       Complimentary refreshment breaks in Exhibit Hall                      traveler’s checks. Make checks payable to
       Saturday Meet and Greet breakfast                                     ASTC and send along with registration
       Maryland Science Center Networking Party                              form(s) to: ASTC, Dept 41, 1025 Vermont
       Networking Receptions                                                 Avenue NW, Suite 500, Washington, DC
                                                                             20005-6310, U.S.A.
Discounts (discounts cannot be combined)
                                                                             Wire transfer. ASTC welcomes inquiries
Group Registration - Available only to ASTC- Members:                        regarding wire transfers. For additional
                                                                             information, contact ASTC’s Accounting
Buy 4 Full Conference registrations and receive a 5th one at half price.     Department at 202/783-7200 x135; fax
One-day, and student registrations are not eligible for this discount. To    202/783-7207.
obtain the discount for the 5th registration, a special paper registration
form is provided on the ASTC website. The special registration form will     Cancellation/refund policy: All
                                                                             cancellations must be in writing to
ask you to list the 4 attendees that have previously registered. Once
                                                                    Cancellations received
the 4 full- registrations listed have been confirmed, you will qualify for   at ASTC on or before August 26 are entitled
the discount. The 4 registrations do not have to be paid at the same         to a full refund of registration and event fees.
time, but must be from the same institution.                                 Cancellations received August 27– September
                                                                             15 will be subject to a $150 cancellation
                                                                             processing fee. No refunds will be granted for
   First-Time - Available only to employees of ASTC Member                   cancellations after September 15. Restrictions
institutions:                                                                may apply.
Welcome! If it’s been five years or more since anyone from your
                                                                             Substitution Policy: Substitutions are
institution has attended the ASTC Annual Conference, ASTC is pleased         allowed with the written authorization of the
to offer a special, limited-time full conference registration rate of $395   registrant who is unable to attend. Send e-
per person (for employees of ASTC-member institutions only). This rate       mail to or bring signed
is also available to ASTC-member institutions that have never sent           letter to on-site Registration Desk along with
representatives to conference. Use this form until July 31st to claim        new registration form.
your discount.
                                                                             Confirmation Notices
                                                                             Confirmation notices will be e-mailed and will
Session leader/Presenters’ registration fees
                                                                             include badge information and confirmation of
Please note that all session leaders and presenters who are employed         selected sessions requiring preregistration
by an ASTC-member institution must register and pay the registration         and receipt of payment. Please read your
fee for the ASTC Annual Conference. For presenters not employed by a         confirmation carefully. To report a correction
member institution, ASTC greatly appreciates your generous                   or discrepancy, call the number indicated on
commitment to serve as a presenter for the Annual Conference                 the notice. Please allow at least seven
Program. You will receive a complimentary pass for the session that          business days from receipt of your form for
you are presenting only. This will not allow access to other sessions,       acknowledgment of registration and receipt.
exhibit hall or networking events. Discounted Full Conference
                                                                             Have more questions or need more
Registration Fees for Non-Member Presenters are available.                   information? ASTC Conference Office at
                                                                             202/783-7200 x133
Exhibitor Registration                                                       e-mail:
Please do not use this form. An exhibitor registration form will be
included in your Exhibitor Service Manual.

Badge Pick-up
Badges will not be mailed. You may pick up your badge and conference
materials at the Baltimore Convention Center, Exhibit Hall lobby
beginning at 7:00am on Friday, October 14.

    *Conference Badge must be displayed for Admission*
  1. Contact Information
  First Name: ___________________________________                     Last Name: ___________________________________
  Job Title: _____________________________________                    Institution: ____________________________________
  Street Address: _______________________________________________________________________________
  City: _____________________________ State/Province: ________ Zip/Postal Code: ________ Country: _______
  Work Telephone: ________________________________ Fax: _________________________________________
  E-mail: _______________________________________ Web site: ______________________________________
  Opt-Out: ASTC prepares preregistration and final ASTC Annual Conference attendance lists for distribution to attendees,
exhibitors, and sponsors. Please note that exhibitors and sponsors may contact you with their product information. If you do NOT
wish to have your name, title, institution, address, phone number, and e-mail address shared on the 2011 lists, you may OPT OUT
by checking the box above.

  2. Your Profile

  Is this your first ASTC Annual Conference?           Yes     No
  Are you a session leader or presenter?               Yes     No      If yes, enter session code(s) _________________

  What is your role in your museum/science center’s purchasing of products? (Check only one)
   I am the final decision maker.   I influence the decision maker.    I am not involved in the decision process.

  What category best describes your role in your museum/science center? (Check only one)
   General Administration/Operations      Admissions/Visitor Services   President/CEO/Director  Education
   Exhibition                             Marketing/PR/Development      Other: _________________________
  How did you hear about the conference?  Web site            Friend/Colleague        Mailer
   I require special meals (please specify): _________________________________________________________
  As part of our ongoing greening efforts, we are now offering the final program book in two options: E-book
  (electronic book) or print. How would you like to receive the final program?  E-book  Print

     If you require special assistance to attend this event, or want information in an alternate format, please contact the
  ASTC Meetings and Conferences Department at 202/783-7200 x133, or e-mail, by September 23.

  3. Register Registration fees payable in U.S. currency: member rates apply to staff of current ASTC-member institutions only.

            Registration Category                             Early Bird                  Advance                      On-site
                                                           (by August 26)            (by September 23)        (after September 23)
FULL CONFERENCE REGISTRATION: Fee includes sessions/workshops that do not require an additional fee, two-day
Exhibit Hall access, refreshment breaks in Exhibit Hall, Meet and Greet Breakfast, Host Party, Networking events

ASTC Member/Presenter/                                       $550                       $625                      $755
Discounted Nonmember Presenter
First-time Special (Member institutions only)                $395
Limited Time Only!                                      (must register by July 31)
Nonmember                                                    $670                       $745                      $875
Full-Time Student (current ID required)                      $300                       $300                      $300

Nonmember Presenter:                                     Complimentary               Complimentary             Complimentary
Includes access to session only
Awardee/Fellow                                           Complimentary               Complimentary             Complimentary

                                                     Continue to next page
Name: ______________________________________________________________________

Workshops/Events/Tours                                                                                      Fee
Friday, October 14
Reflecting on Practice I: A Professional Development Program for Informal Educators                          $0
NEON (National Education Outreach Network)                                                                   $42
Program Development Boot Camp                                                                                $0
Really Great Programming: Best Practices in Development, Delivery, and Evaluation                            $25
Explore NASA Goddard: Science and Engineering Put into Practice                                              $40
Orientation for First-Timers                                                                                 $0
Teacher Education Intensive Workshop                                                                         $0
Teacher Educator Network (TEN) Reception Dinner                                                              $45
Saturday, October 15
Saturday Night at the Maryland Science Center                                                                $0
  Nonregistered Guest (Adults only, over 18yrs)                                                              $60
Sunday, October 16
CEO/Trustee Luncheon                                                                                         $40
ASTC Diversity Fellowship Dance Party                                                                        $25
Monday, October 17
Keepin’ It Real: Museums Meet Community Audiences                                                            $0
Outreach Live!                                                                                               $30
Development/Advocacy Luncheon and Roundtable                                                                 $40
Wednesday, October 19
Annapolis and the United States Naval Academy                                                                $43
Behind the Scenes at the National Aquarium, Baltimore – Gallery Tour                                         $46.95
Behind the Scenes at the National Aquarium, Baltimore – Sharks!                                              $39.95
A Sustainability Tour of the Chesapeake Bay Foundation’s Phillip Merrill Center                              $50
Total Workshop/Events/Tours Fees                                                                             $
Registration Fees from previous page                                                                         $
Total Due                                                                                                    $0

Payment: $_______________

     Check (US bank)           Wire Transfer       American Express              MasterCard       Visa

Credit card number:______________________________________ Expiration date: __________ CSV Code: _________
Print name as it appears on card: _______________________________________________
Signature: _________________________________________________________________ (Please provide if available)

Additional Payment: $_____________

     Check (US bank)           Wire Transfer       American Express              MasterCard       Visa

Credit card number:______________________________________ Expiration date: __________ CSV Code: _________
Print name as it appears on card: _______________________________________________
Signature: _________________________________________________________________ (Please provide if available)

ASTC Staff Use Only
Date received    ____/____/____   Check# ___________     Staff Initials ________       iMIS ID#___________

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