88th Annual IACTE Conference and Annual Meeting Registration Form February 14-16, 2018 ● The President Abraham Lincoln Springfield-a DoubleTree by Hilton Hotel, Springfield, IL Name _____________________________________________________
Name Preferred on Name Badge ________________________________
Title ______________________________________________________
Employer’s Name ___________________________________________
Address ___________________________________________________
City __________________ State _______________ Zip _____________
Phone ____________________________ Fax _____________________ E-Mail ____________________________________________________
Please check one primary affiliate: ❑IAVAT ❑IBEA ❑ICTA ❑IFACSTA ❑IHOA ❑ILAVESNP ❑INRS ❑TEA of IL Please check one or more (if appropriate): ❑First-timer ❑Retired ❑Student ❑IACTE Past-President ❑ ___________ *In order to receive the Early Bird rate, payment must be received by December 15, 2017* You must () Yes for each meal you plan to attend. Meals are included in registration fee. IACTE must pay for the number guaranteed regardless of the number served.
IACTE 2018 Individual Registration Rates Includes Continental Breakfast, Lunch, Networking Reception & Awards Dinner on 2/16, Breakfast & Lunch on 2/17 IACTE Professional Members Retired/Student Members Non Member
Early Bird by: Dec. 15
Regular After: Dec. 15
Late After Feb. 3
$200
$225
$250
$125
$150
$175
$260
$285
$310
IACTE Conference & OHSA 10 Training Includes all meals
Professional Member Retired/Student Members Non Member
By Dec.15 $230
After Dec. 15 $255
After Feb. 3 $280
$155
$178
$205
$290
$315
$340
IACTE Student Registration Includes lunch on Thursday Student Member with one lunch Non-Student Members with one lunch
By Dec.15
After Dec. 15
After Feb. 3
$25
$35
$45
$35
$45
$55
IACTE Membership due (Attach Form to join or renew) Download form at www.iacte.org
Total Amount Due
Total
Thursday, Feb. 15
❑Yes ❑Yes Continental Opening Breakfast Lunch
Friday, Feb. 16
❑Yes Breakfast
❑Yes Networking Reception
❑Yes Awards Dinner
❑Yes Closing Lunch
List Special Dietary Needs: _____________________________________________ Total
Total
Method of Payment:
❑Check ❑Purchase Order Purchase Order # _________ (To take advantage of the Early Bird rate, payment must be received by December 15, 2017.) A check or P.O. must accompany registration. Please make all checks payable to the Illinois Association for Career and Technical Education. Return this registration form with your check or P.O. number to Cathy Carruthers, 803 Enos Lane, Godfrey, IL 62035, or fax to (618) 551-2834, or email to
[email protected]. Refund requests must be in writing and will be honored until February 3, 2018. A $50.00 handling fee will be assessed. For questions, please contact Cathy Carruthers at
[email protected] or (618) 466-7908. Conference Hotel Information: IACTE has secured a special conference rate at the President Abraham Lincoln - A Doubletree by Hilton in Springfield, Illinois, of $110 for Single/Double, $122 for Triple, and $134 for Quad. To book, call (866) 788-1860 and use the code CTE. The deadline to book at this rate is January 24, 2018.
Professional Development Hours will be available for the opening and closing sessions and each breakout session with the opportunity to earn 11 Professional Development Hours.