Virginia School-Age Child Care Association 2008 DISCOVER Conference
 October 24 and 25, 2008 • Sheraton Richmond West
Attendee Registration - For Fax or Mail

Print and use OFFLINE for payment by check, purchase order, or credit card. Complete form and fax or mail with your payment information (see below). Online/fax in registration closes 10/17/08. Do not send payment by mail after 10/10/08. Bring payment to the conference and pay onsite. All required fields (noted with *) must be filled in.

All attendee registrations are transferable. Cancellation requests received by 10/03/08 in writing (or by email) will be refunded after 11/17/08 (less a $50 administrative fee). No other refund requests can be honored. The CEU fee is neither refundable nor transferable.

*First Name

  *Last Name  
Informal name (to be used on badge)

*Program Name/ Agency/Company

 

*Mail Address
City/State/Zip

  

*E-mail
Your registration receipt and other important conference information will be sent to this address. Please use the attendee's direct email.

*Phone

  Fax

*Confirmation Code Word or number to use to access your online confirmation.

Please contact me regarding any special personal requirements.
Please do not send me non-conference related materials from VSACCA, AfterSchool Conference Inc., or authorized vendors.
Conference Fees and Payment
 *Please circle fee amount
Conference Only
 Does not include CEU.
Conference plus CEU
Issued by Virginia Tech. View requirements. The CEU fee is neither refundable nor transferable.
Onsite
Payment received after 8/01/08
Payment received after 8/01/08
Fee for registration onsite or received after 10/8/08.
Full Conference (FRI and SAT)
 $190 $235 $225 conference only
$270 conference and CEU
Friday Only
 $145

n/a

$180
Saturday Only $135

n/a

$170
Speakers Only (FRI and SAT)
 $75 $120 n/a
Check Payment: Make checks payable to AfterSchool Conference Inc.; mail to address below.
Purchase Order: Send to AfterSchool Conference Inc., address below. PO Number:
Credit Card Payment: Payment processing takes place over a secure server. Protected by Authorize.net
Credit Card Payment - Offline
*Card number *Expires mm/yy *Security Code
*Name on Card First Last
Is the billing address the same as above? Yes.  *If not, please provide the billing address.
Card Billing Address/City/State/Zip
© Virginia School-Age Child Care Association 2008 DISCOVER Conference
AfterSchool Conference Inc. • 19 Harrison Street • Framingham, MA 01702 • 508-875-4545 • 508-879-4892 fax