California Community College Association for Occupational Education

On-Line CCCAOE Fall 2010 Conference Registration Form

*	asterisk items must be completed
*	First Name:	First name is required.
*	Last Name:	Last Name is required.
*	Job Title:	Job title is required.
*	College/Business Affiliation:	Collage/Business affiliation is required.
*	Street Address:	Address is required.
*	City:	City is required.
*	Zip:	Zip cod is required. - Zip= (five + four digits) Please make sure to fill the complete 9 digits
*	Phone:	Phone number is required.
	Fax:
*	E-Mail:	Email is required.
	Vegetarian Needs:
	This Conference
	Optional - Do you have a comment or question regarding your registration?
*	This will be my first time to attend either a CCCAOE Conference. Yes No Please make a selection.
*	Type of Payment:	Check Credit Card via PayPal
	Registration $395 until October 11, 2010, Late Registration $445 beginning October 12, 2010 PAYMENT POLICY: Conference attendees whose registration payment has not been received prior to their registration at the conference will be required to present an approved/signed Purchase Order or make payment to CCCAOE via personal check or credit card through PayPal. (Board adopted 6/10/08) No cancellation refunds after October 11, 2010; cancellations and conference no-shows after October 11, 2010 subject to full payment of conference fee. All cancellations/refunds are subject to a minimum $50 fee.
	Make check payable to CCCAOE and mail to: CA Community College Association for Occupational Education PO Box 407 Aptos, CA 95001-0407