Linking Leaders
Registration Form
November 4-7, 2006
Orlando, FL
(Please complete a separate form for each participant)
1. NCEA Membership
Membership #:
My school is a:
Premier NCEA Member [ ]
Basic NCEA Member [ ]
Nonmember [ ]
2. Name and Address (Please print or type)
Full Name
Position
School
School Address
City, State Zip Code
School Telephone
School Fax
Email
3. Registration Fees
October 1 and later:
Premier Members: $575/person
Basic Members: $625/person
Non-members: $895/person
4. Payment
Your registration is not complete until all fees are paid in full. A copy of this form must accompany registration for each participant from each school. One payment for teams from one institution may be made.
Charge to
VISA [ ] MasterCard [ ] A check is enclosed payable to NCEA [ ]
Account #
Exp:
Cardholder’s Signature:
5. Housing
Registration does not include housing. Please make your own hotel reservations by calling 800-800-9840 and ask for the special $89/night National Catholic Educational Association rate.
Rosen Centre Hotel
Email: reservations@rosencentre.com
Phone: 1800-204-7234
Fax: 407-996-3169
Cancellations and Refunds
If a request is received up to September 10, registration will be refunded 100%. After September 10, 75% of your registration fee will be refunded. After October 2, no refunds are possible because of commitments to the Rosen Center.