Print this form and mail to the address below.
Pennsylvania Federation Council for Exceptional Children

NO CHILD LEFT BEHIND IN PENNSYLVANIA - MOVING AHEAD IN 2003

44th Annual Convention - November 6-7, 2003

Convention Pre-Registration Form

 

(Separate registration form required for each attendee.)

PFCEC SESSION SELECTION- To help us determine space requirements, please select the sessions you prefer to attend by writing the session number in each box under the corresponding session and times below. When selecting two-hour sessions, enter the numbers in both time boxes. Please enter your first and second choices. For a list of sessions please refer to the Special Convention Edition of ACTION.
Thursday
 November 6, 2002
First Session
8:00 - 9:00
Second Session
9:10 - 11:00
Third Session
11:15 - 12:30
Fourth Session
12:40 - 1:40
Fifth Session
1:50 - 2:50
Sixth Session
3:00 - 4:00
First Choice __________________________________________________ __________
Second Choice __________________________________________________ __________
Friday
November 7
1st Session
8:00 - 9:00
2nd Session
9:10 - 10:10
3rd Session
10:20 - 11:20
4th Session
11:25 - 12:25
5th Session
12:30 - 1:30
6th Session
1:40 - 2:40
7th Session
2:50 - 3:50
First Choice _______ ________ ________ ________ ________ ________________
Second Choice _______ ________ ________ ________ ________ ________________
bulletAny session may be cancelled or rescheduled due to poor attendance or other unforseen circumstances.
bulletChanges or cancellations will be noted in the program distributed at the convention.
bulletFirst-choice sessions will be registered on a first-received basis.
bulletSome sessions have a limited number of participants and will be closed to new registrations once filled.
bulletRegister early to ensure your opportunity to attend a specific session.

Registration begins daily at 7:30 AM and closes at 3:00 PM. Please check at the convention registration desk upon arrival to receive your credentials/convention packet. You will not receive confirmation that your pre-registration has been received. A receipt will be included in your convention packet.

Name: _____________________________________________CEC Memb. # ___________________

Position/Affiliation: __________________________________________________________________

Street Address: ______________________________________________________________________

City/State/ZIP: ______________________________________________________________________

Telephone/FAX: _____________________ / ___________________E-mail: _______________________

Are you a: Special Education Teacher ____, Administrator ____, Student ____, Parent ____,
Are you a: Regular Education Teacher ____, Paraprofessional ____, Other ____________

Is this your first PFCEC Convention? _______

If you have a disability requiring any kind of SPECIAL ASSISTANCE, or if you need a vegetarian meal, please note here:

PRE-REGISTRATION DEADLINE: OCTOBER 15, 2003

Wednesday Only - PACASE (includes lunch and refreshments)
Thursday or Friday Only (includes lunch)
Dinner/Dance (Thursday Evening)
Conference Package (includes lunches, banquet, entertainment, & Dance)

Please circle the appropriate fee(s) and enter the total below.

CEC MemberNon MemberStudent CEC MemberStudent Non-Member
Wednesday CASE$99$109$50$60
Conference Package$99$129$59$69
One Day Only (____)$69$79$39$49
Dinner/Dance$30$30$30$30
CEC/NCATE Folio
Writer's Wkshp.
$150$150  
Workshop with
Marilyn Friend
$25$25$25$25

TOTAL $_____________

MasterCard/Visa # ________-________-________-________ Expiration________ Signature______________________
OR make checks payable to PFCEC

To assist our planning, please check all meals you plan to attend:
Thursday Lunch_____
Thursday Dinner_____
Friday Lunch_____

 

CANCELLATIONS and LATE REGISTRATIONS

  1. Cancellations at any time are subject to a 15% administrative fee. Requests for refunds must be in writing and postmarked by October 15, 2003.
  2. No refunds may be granted for cancellations postmarked after October 15.
  3. Failure to attend after registering with a credit card are not be grounds for challenging the charge to your account.

 

ACCEPTANCE OF PURCHASE ORDERS

PFCEC is a non-profit organization. As such we are not in a position to extend credit to individuals. Unfortunately, each year a number of attendees have requested that we bill their school district or organization. This often requires months of work in trying to recoup our costs. Because of this, we have been forced to implement to following conditions for those wishing to use School District Purchase Orders:

  1. School District/Entity purchase orders are welcome, but must be received prior to the conference . A copy of the PO must be attached to the registration form. Alternatively, you may bring an original copy of the PO if you need to register on-site.
  2. If an attendee arrives and a PO is not on file with us, we will ask for a credit card or some other means of immediate payment. You may want to bring a photocopy of the PO to insure this doesn't happen to you.. (This sometimes happens when schools send out the paperwork late, after October 15).
  3. PO numbers alone without a photocopy cannot be accepted as guarantee of payment. We will not bill a school unless an actual PO is presented.
  4. Attendee is responsible for attendance fees! We hope you can arrange for your school to help you attend this terrific learning opportunity, however since we have no control over your relationship with your employer we must insist that the individual is responsible for his/her attendance fees. We provide proof of payment for reimbursement purposes in your registration packet.
  5. Those who cannot show proof of payment will be denied entry.

mail to: Peggy Philapavage
PFCEC Treasurer
1530 W. Pennsylvania St.
Allentown, PA  18102-1039
FAX: 610-434-9157

 

Questions about registration?
Contact Cheryl Lamm, Registration Co-Chair, 610-799-3654, [email protected]
For a more timely response and to avoid playing phone-tag, e-mail is the preferred method of communication.

No confirmation will be sent!

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