Last Name
First Name
School District/Agency
Position for 2008-09
Preferred Billing Address
City
Zip Code
Office A/C Phone
Office A/C Fax
Cell Phone
E-mail
* Required
Note: Your information will not be shared with
individuals or organizations at any time and will be used for KASA purposes
only. This information also enables us to contact you in the event of an
emergency.
Guests attending the conference with me (list names):
Notes: Limit 2 family members or companions only. Children under the age of 16 are not required to register. Other school administrators may not register as a guest.
A. Conference Registration (6 hours Conference or EILA Credit)
(On-site registration required after Wednesday, July 9, 2008)
KASA Member $245 (On-site Registration $295)
Non Member $445 (On-site Registration $495) includes limited complimentary membership to new members joining KASA for the first time.
Note: Member and non member registration includes all general, early bird, and education sessions, exhibit hall access, breakfast, box lunch, celebration brunch, refreshment breaks, and social activities.
be an active member retiring at the close of the 2007-08 year, or have been a retired member and not actively employed by a school district or education agency during 2007-08.
FREE
Note: Retired/Alumni registration does NOT include meal functions. Please order below.
B. Meals & Activities
Additional Box Lunch
Or Retired Member Luncheon Tickets
(qty.) 7/17/08 @ $22 ea.
Additional Celebration Brunch Tickets
(qty.) 7/18/08 @ $35 ea.
Golf Scramble
7/16/08 @ $50 ea.
C. Pre-conference Workshops -- Wednesday, 7/16/08
(6 hrs. EILA credit) $
150
(3 hrs. EILA credit) $
75
(3 hrs. EILA credit) $
100
Total Cost of Pre-conference --
Total Registration Fee
D. Early Bird Discount
If registering by June 13, 2008 a $50 discount may be applied to the regular $245 (member) or $445 (non member) registration fee. Discount does not apply to pre-conference workshops, golf or other activities.
If Applicable, Deduct $50
E. Miscellaneous
1. Jarrett's Joy Cart
Total Jarrett's Joy Cart --
2. Keynote Speaker Books
I wish to purchase the following Keynote Speaker books:
Note: Many other book titles and professional resources will be
available at the Conference Bookstore, July 16-17.
Total Bookstore --
3. Membership Renewal
Total Renewal (.003% of Annual Salary)
PAYMENT OPTIONS
