REGISTRATION INFORMATION & FORM
The Venetian Resort & Casino, Las Vegas, NV
www.venetian.com
Hotel Reservations: (877) 283-6423 or (702) 414-1000
Types of Full Convention registration which includes entrance to all
professional sessions, exhibit hall events, and the awards luncheon: First
Member - first person registering from a CCA member school or organiza-
tion; Additional Member - any other person registering for the full
Convention after the 1st member; Spouse/Guest - spouse/guest of a regis-
trant; State Association Staff Executive - the staff person of a state
association; and Non-member - not a member of CCA.
Daily registration includes entrance to all professional sessions and exhib-
it hall events for a particular day. No other meal functions are included in
the daily fees.
Extra tickets may be purchased for Convention events as noted on the
registration form.
Register by mail or by fax
Mail registration form with payment to CCA, P.O. Box 75068, Baltimore,
MD 21275-5068 or to CCA Convention, 10 G St, NE, Suite 750, Washington,
DC 20002-4213.
Fax registration with credit card payment to (202) 336-6828.
Cancellation Policy--Fees will be refunded only if written notice of can-
cellation is received at CCA on or before May 23, 2003. In the event of a
written cancellation, $75 of the initial fee will be retained to cover adminis-
trative costs.
REGISTRATION FORM
Please type or print clearly. Duplicate form for additional registrants.
Registration will not be accepted without payment.
Name ________________________________________________________________
Nickname (as it should appear on badge) ________________________________
College/Organization __________________________________________________
Address ______________________________________________________________
City_________________________________________State________Zip __________
Phone_______________________________ Fax ______________________________
Email ________________________________________________________________
Circle your registration choice
Rec'd by
Rec'd after Onsite
5/1/03
5/1/03
1st Member
$525
$550
$600
Add'l Member
$500
$525
$575
Spouse/Guest
$375
$400
$450
State Assoc. Staff
-
-
-
Non-member
$650
$700
$750
Daily *
$275
$300
$350
Total Registration Fees___________________________
*For attendance at daily rate, check day(s) desired. (Fee includes exhibit
hall functions, but not other meals): ___Wednesday ___Thursday ___Friday
Convention Extra Tickets
For individuals not registered as a full Convention attendee from above list:
# of tickets ___________
Exhibit Hall Reception @ $50 each
_____ Wednesday
$________________
_____ Thursday
$________________
_____ Friday
$________________
Exhibit Hall Continental Breakfast @ $25
_____ Thursday
$________________
_____ Friday
$________________
_____ Awards Luncheon @ $50 (Thurs.)
$________________
_____ Exhibit Hall Luncheon @ $50 (Fri.)
$________________
Total Extra Tickets
$________________
CTF/McGraw-Hill Golf Tournament at Las Vegas National
_____ Golf Tournament @ $100 each
$ _______________
_____ Golf Tournament @ $400 for foursome
$ _______________
______________________________________________________________________
Names of individuals in foursome
Career Training Foundation Reception & Gala
Contribution
Fee
* Benefactor (8 seats)
$5,000
Table (8 seats)
$2,000 - $5,000
Friend (2 seats)
$ 500
* Purchasing a table at the Benefactor level also gives you:
- 1/4 page ad in the Gala program
- Complimentary registration for one person to play in the
CTF/McGraw-Hill Golf Tournament
- Company logo in Gala program
- Sponsorship recognition at the Gala
- Signage at the Gala
Note: A portion of your contribution may not qualify for federal tax deduction.
_____ Number of seats being reserved
GRAND TOTAL OF FEES $______________
Payment
_____ My check payable to CCA for $_______________ is enclosed.
_____ Charge $________________to my credit card.
___American Express ___MasterCard ___Visa
Account #___________________________________________Exp. Date ________
Name on Card ________________________________________________________
Cardholder's Signature (required) ______________________________________
For CCA use only
Pd. Ck Date___________ Ck#_________ Batch#________________________
Ck Amt_____________ Issuer________
