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Name on credit card
Or: District purchase order number... or if you are sending a check, please put check # here
Your Street Address
City
State/Province
Zip/Mail code
Home Phone :
Work Phone :
E-mail :
Affiliation and position for badges, please include any family members that will be attending:
(Example: Becky Thatcher, Mount Diablo, Educator)
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PLEASE ATTEND THESE MEAL FUNCTIONS
Meal descriptions are available in the conference registration packet.
Welcome Reception No-Host Bar - Thursday
Yes, sounds fun
No, won't be in hotel yet
Vendor Reception No-Host Bar - Friday
Yes, Can't wait to see what's new.
No, but I'll be sure to see vendors another time
Friday Lunch $40:
Balsamic Chicken
Pan-Seared Salmon
Vegetarian
Vegan
Saturday: President's Reception : Free of charge. No-Host Bar.
Yes, these are always fun
No, I have other plans
Saturday Banquet $50:
Filet Mignon
Sea Bass
Vegetarian
Vegan
Sunday Brunch $25:
Eggs & Bacon
French Toast
Vegan
Note :
Non-diners are welcome at all meal functions. Separate seating will be made
available.
Please let us count you in:
Yes, I want to vote
No, even though I should be
Your guest(s)are welcome.
Please enter number of
guest meals for each day
Friday Lunch:
Pan-Seared Salmon
1
2
3
4
5
Balsamic Chicken
1
2
3
4
5
Vegetarian
1
2
3
4
5
Vegan
1
2
3
4
5
Saturday Banquet:
Filet Mignon
1
2
3
4
5
Sea Bass
1
2
3
4
5
Vegetarian
1
2
3
4
5
Vegan
1
2
3
4
5
Sunday Brunch
Scrambled Eggs & Bacon
1
2
3
4
5
French Toast & Sausage
1
2
3
4
5
Vegan
1
2
3
4
5
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Program choices, other than print
Braille, including maps
Email before conference
Guide Dog Orientation
No, thanks
Yes, thanks
Hotel Orientation
No, thanks
Yes, thanks
ACVREP
Again this year Continuing Education Units are being offered. There will be an ACVREP fee of $35, payable in advance withregistration fee. This fee will allow you CEU's for an unlimited number of workshops. YOU will get instructions for receiving certifcates after conference. Please provide e-mai address where you wish the instructions sent.
No, thanks
Yes, I want it
If yes, e-mail required
Journal Format
Choose JOURNAL format especially if this will be a change or you are a new member:
Print
BRL
Audio on CD
Virtual, e-mail required
Pre-Conference Tours
Below are the preconference tours this year. Please specify how many people will attend.
Tour of Junior Blind American (A.M.) No Charge...please specify how many
1
2
3
4
5
Dining in the Dark $36, please specify how many
1
2
3
4
5
GRAMMY Museum Tour $10, please specify how many
1
2
3
4
5
Daycare
Daycare is being provided for Saturday. You must shedule for Day Care in advance. Sunday Day Care is under consideration, but has not been negotiated at this time. Please be prepared with other arrangements should you need this service for Sunday.
Yes, below are the names
No, I'm attending without children
Please list below the name and age of each child that will need Day Care.
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Workshops
Workshops open to members only. Please include dues with registration if you are not a current member. All $US
Basic Registration - $125
Bargain Registration includes three meals - $200
Family Registration is FREE to current members. Please provide all names for badges above
Please indicate your first and second choices by using the drop-down menu boxes below.
See conference registration packet for descriptions
Friday, April 23
Session 100
101
102
103
107
108
109
110
111
101
102
103
107
108
109
110
111
Session 200
201
202
203
204
206
207
208
209
211
201
202
203
204
206
207
208
209
211
Session 300
301
302
303
304
305
306
307
308
309
310
311
301
302
303
304
305
306
307
308
309
310
311
Session 400
401
402
403
404
405
406
407
408
409
410
411
412
401
402
403
404
405
406
407
408
409
410
411
412
Saturday, April 24
Session 500
501
502
503
504
505
506
507
508
509
510
511
501
502
503
504
505
506
507
508
509
510
511
Session 600
601
602
603
604
605
606
607
608
609
610
611
601
602
603
604
605
606
607
608
609
610
611
Session 700
701
702
703
704
705
706
707
708
709
710
711
701
702
703
704
705
706
707
708
709
710
711
Session 800
801
802
803
804
805
806
807
808
809
810
811
801
802
803
804
805
806
807
808
809
810
811
Sunday, April 25
Session 900
901
902
903
904
905
906
907
908
909
901
902
903
904
905
906
907
908
909
Workshop handouts
Braille
Print
Getting this conference planned and prepared for your education and inspiration has been our pleasure. Would you be willing to help in some little way at the conference? We can use O&M help, booth sitters so our vendors can take a short break, information booth sitters, raffle-ticket handlers, and more. Please say yes and we'll contact you the week before conference. Thanks
Sorry, I can't help
Sure, count me in somewhere
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REVIEW YOUR CHOICES BEFORE CONTINUING.
Print the page for your records (ctrl-P), THEN click "Submit" to send your requests to Registrar. This step is separate from payment. If sending changes or additions, you may then close the payment page. Otherwise, proceed by indicating choices and making charges.