Festival Registration – Purchase Order

CONFERENCE REGISTRATION PURCHASE ORDER PAYMENT

IF YOU ARE A STUDENT, DO NOT FILL OUT THIS FORM. Please fill out Conference 57 Registration Credit Card. Completion of this form will create an email, which serves as an invoice for the Conference Registration Order. Please make checks payable to: ACTF Management, LTD. Region 8 Mail payments to: ACTF Management, LTD. Region 8 Shaunte Caraballo, Chair 2892 N Bellflower Blvd #1039 Long Beach, CA 90815

YOUR COLLEGE OR UNIVERSITY*

If your school isn't listed or if you are a community partner, please list your school/affiliation below

FORM FILER'S NAME*

NAME POSITION (Chair, Administrative Assistant, etc.)

FORM FILER'S PHONE NUMBER*

FORM FILER'S EMAIL ADDRESS*

EMAIL ADDRESS WHERE RECEIPT WILL BE SENT.

COLLEGE OR UNIVERSITY BILLING ADDRESS*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

If your school requires additional information/requirements for the PO, please list it here.

REGISTRATION FEES

Conference Registration Rates (non-refundable) Early Bird Registration: $125

REFUND POLICY

CONFERENCE REGISTRATIONS are refundable or transferrable (i.e. switching names from one person to another) at the rate paid, up to 24 hours prior to the first event of the Conference. Once the CONFERENCE has begun, CONFERENCE REGISTRATIONS will not be refunded. CONFERENCE REGISTRATIONS purchased on-site (during conference) are not eligible for a refund.

LOST BADGE FEE POLICY

CONFERENCE participants must be registered for Conference and carry a badge at all times. If, for any reason, a badge is lost, participants will not have access to any Conference event. Participants may go to the Conference Registration table and obtain a replacement badge for $10.00.

On-site Faculty or Staff Coordinator for Conference (if not traveling with a group, please place your emergency contact's name here)*

On-site Faculty or Staff Coordinator Cell Phone Number (if not traveling with a group, please place your emergency contact's cell phone number here)*

On-site Faculty or Staff Coordinator Email Address (if not traveling with a group, please place your emergency contact's email address here)

CONFERENCE REGISTRATION

Participants must select a WEEK PASS or the appropriate DAY PASS. Whomever is completing this form must enter a "0" (the number zero) in the boxes that are not being purchased. For example, if an individual or school is buying 5 Week Passes and 2 Saturday Passes, a "0" must be entered in Tuesday, Wednesday, Thursday, and Friday. PLEASE NOTE:We changed the registration form so that you only need to list the number of registrations you need. You do not need to provide the names of all of your registrants. You will receive a separate email requesting the final list of names for your school's participants. Too many schools did not know the names of all the students they are registering until closer to the festival, but wanted to register early to get the early bird rate. This resulted in us having to change the names of the registrants multiple times before the festival. So, we moved it to a separate form closer to the festival to eliminate the administrative confusion. Please fill out the form as indicated, it will serve as your registration for all of your attendees.

UPDATED REGISTRATION NOTES

PLEASE NOTE: The registration form has changed so that you only need to list the number of registrations you need. You do not need to provide the names of all of your registrants. You will receive a separate email requesting the final list of names for your school's participants. Too many schools did not know the names of all the students they are registering until closer to the conference, but wanted to register early to get the early bird rate. This resulted in us having to change the names of the registrants multiple times before the conference. So, we moved it to a separate form closer to the conference to eliminate the administrative confusion. Please fill out the form as indicated, it will serve as your registration for all of your attendees.

Registration/Week Pass(es): *

Price: $125.00

1-day Passes *

Price: $55.00

BILLING

Total

PURCHASE ORDER NUMBER (DO NOT ENTER CREDIT CARD INFORMATION)

Conference Registration
Purchase Order Closes January 31

Conference 57 Registration: Purchase Order

CONFERENCE REGISTRATION PURCHASE ORDER PAYMENT

REGISTRATION FEES

REFUND POLICY

LOST BADGE FEE POLICY

CONFERENCE REGISTRATION

UPDATED REGISTRATION NOTES

BILLING

Conference RegistrationPurchase Order Closes January 31

Conference 57 Registration: Purchase Order

CONFERENCE REGISTRATION PURCHASE ORDER PAYMENT

REGISTRATION FEES

REFUND POLICY

LOST BADGE FEE POLICY

CONFERENCE REGISTRATION

UPDATED REGISTRATION NOTES

BILLING

Conference Registration
Purchase Order Closes January 31