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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.