1999 Annual Conference Registration Form

1999 ANNUAL CONFERENCE REGISTRATION FORM
Directors of Educational Technology/ California Higher Education
November 30 - December 3, 1999
DoubleTree Hotel ~ Pasadena, California
Hosted by: Fuller Theological Seminary, Pasadena City College & Western University of Health Sciences

Name: Title:

Institution/Organization:

Address (line 1):

Address (line 2):

City, State Zip Code

Daytime Telephone: ( _ _ _ ) _ _ _ - _ _ _ _ E-mail:

[ ] Yes, I am a DET/CHE Member [ ] No, I am not a DET/CHE Member

Conference Registration Fee (includes all meeting materials, breaks and designated meals)

___$225.00 full conference - member (1999-2000) ($250 after November 15, 1999)

_$250.00 full conference - non-member ($275 after November 15, 1999)

_$80.00 full conference - spouse/partner Name: _____________

_$325.00 full conference--walk-ins (Not Recommended)

_$50 membership dues for 1999-2000

___Total Fees Due (Dues must be current for 1999-2000 in order to register as a member.)

Payment method: (payment to DET/CHE must accompany registration form)

[ ] check enclosed [ ] purchase order enclosed

Payment must be received before registration is considered complete. Dues must be current for 1999-2000 in order to register as a member.
Credit card payment cannot be accepted by DET/CHE.
To assist conference planning, please register as soon as possible.
Walk-in Registration is not recommended.
Cancellation Policy: If a registration is canceled by the registrant, a $55.00 service fee will be deducted from any payment. Registrants who do not attend or who cancel after the beginning of the conference are liable for the entire registration fee. Refund requests must be made in writing to the DET/CHE Treasurer, Susan Corum.

Special needs/assistance:

Special meal requirements:

Is this your first DET/CHE conference? [ ] Yes / [ ] No:

For further information:
* on registration or about DET/CHE: (805) 893-8812; Bob Romanelli, DET/CHE Executive Office, UC Santa Barbara
* program details: (310) 243-2272; Warren Ashley, Program Chair, CSU, Dominguez Hills (washley@csudh.edu)
* local information: (626) 584-5228; Scott Clark, Fuller (sclark@fuller.edu)
* lodging information: 1-800-222-TREE; DoubleTree Hotel - Pasadena, California
* on rides to and from airport, contact Rhonda Rosen at rrosen@popmail.lmu.edu.

Mail this completed form & payment to:
Bob Romanelli
Instructional Resources
University of California Santa Barbara
Santa Barbara CA 93106-3200
(805) 893-8812 FAX (805) 893-5895. romanelli@id.ucsb.edu

_______$225.00 full conference - member (1999-2000)	($250 after November 15, 1999)
_______$250.00 full conference - non-member	($275 after November 15, 1999)
_______$80.00 full conference - spouse/partner	Name: _____________________
_______$325.00 full conference--walk-ins (Not Recommended)
_______$50 membership dues for 1999-2000
_______Total Fees Due (Dues must be current for 1999-2000 in order to register as a member.)

Name:	Title:
Institution/Organization:
Address (line 1):
Address (line 2):
City, State	Zip Code
Daytime Telephone: ( ___ ___ ___ ) ___ ___ ___ - ___ ___ ___ ___	E-mail:
[ ] Yes, I am a DET/CHE Member	[ ] No, I am not a DET/CHE Member