CACRAO 2010 CONFERENCE: ONLINE REGISTRATION FORM

CACRAO 2010 Annual Conference
Registration Form

Personal Information

Name for Badge: Salutation:

First Name: Last Name:

Title: E-mail:

When entering your phone and fax numbers, use the following format: 555-555-5555.

Phone: Fax Address:

City: State: Zip (5 digits):

Institutional Information

Institution:

If you choose "other" for school, give a brief explanation.

Membership Information

Whole numbers. No fractions and/or decimals. Numbers will be truncated.

How many years have you been in this profession?

How many years have you been a CACRAO member?

Check this box if this is your first CACRAO Annual Meeting.

Registration Fees
(due November 1, 2010)

	$135.00 Registration Fee (prior to 10/01/2010) $185.00 Registration Fee (after 10/01/2010) $225.00 Registration Fee (after 11/01/2010) $ 95.00 Guest/Spouse		$ 95.00 Past President Registration Fee $ 95.00 Honorary Member Fee $ 50.00 Enrollment Management Institute $ 25.00 Registrar's Breakfast

	Guest/Spouse Name:

RSVP Section

Please select which activities you plan to attend.

Opening Session
Presidents Lunch
Recognition Luncheon

Tuesday Night Main Event
Newcomers Welcome Reception
Breakfast & Business Meeting

Dietary Needs

Vegetarian

Allergies: Nut Seafood Dairy Other

If you checked "Other", enter the name of the allergy:

COMMITTEE INFORMATION FOR 2009-2010

Please select the committees you served on for 2009-2010.

Archives	Budget & Auditing	Constitution & Bylaws
Educational Consultants	Ethics	Executive
Legislative Concerns	Local Arrangements	Long Range Planning
Mass Communications	Mentoring	NC Educ. Opportunity Scheduling
NC School Counselor Conference	Newsletter	Nominating
Professional Access & Equity	Program	Recognition
Recommendations & Evaluations	Registrars	SC Educ. Opportunity Scheduling
SC School Counselor Conference

Comment

Mail payments by 11/15/2010 to:

Angela Anderson
East Carolina University
105 Whichard Building
Greenville, NC 27858