1. Fill out this form with all your information, workshop choices and method of payment.

2. Print this page with all your information.

3. Press the Submit Form button at the bottom of this page.

4. If paying by check or money order, send in the print out of this page with the check or money order (keep a copy for your records).

5. If paying by credit card, click the link to visit our credit card payment page and make your choices by adding your selection to the PayPal shopping cart then click the View Cart button, and if all the items are correct, click Checkout and pay securely using your credit card. If you have any questions, contact Wendy Rochester at wendy.rochester@lmsvsd.k12.ca.us 

First Name       

Last Name       

Address           

City                    

State                         Zip Code

Daytime Phone     

E-mail                      

School District      

Fax Number    

Local Affiliate, if applicable

Breakout Sessions--Workshop Registration (pick one from each day)

Friday, March 10, 2006

 

 High Impact Print

 Pathways to Leadership

 

 Culture of Poverty

 Databases & MS Word & Mobile Technology

CAEOP reserves the right to make reasonable substitutions in the event of speaker cancellation.

FULL REGISTRATION includes admission to all sessions, all conference materials, Friday lunch, Friday banquet, Saturday breakfast, Saturday lunch. 

Registration fee refunds will be made, less a $50.00 processing fee, for written cancellations postmarked before February 28, 2006. No refunds will be granted for cancellations after February 28, 2006 or for conference “no shows.” An alternate may substitute for a registrant. Refunds will be mailed after the conference. 

Full Registration

  Register and Pay BEFORE 01/20/06 $265.00 

  Register and Pay AFTER 01/20/06 $275.00

  Non Members $295.00 

  Retirees  $220.00

One Day Registration (Choose Day Attending)

(All Friday or Saturday workshops, meals, and conference materials included)

 Friday  $180.00

 Saturday $180.00

Membership Renewal

 Membership Renewal active member $35.00 (if mailing registration, include a separate check please) (Dues Increase to $40 in April!) 

 

 First-Time New Member Incentive $25.00 (during conference only, one time only) (Last chance at this low rate-Dues Increase to $40 in April!) 

Guest Tickets:

 Friday Lunch $30.00 each

 Friday Banquet $50.00 each

 Saturday Breakfast $25.00 each

 Saturday Lunch $30.00 each

 

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Method of Payment:  Check  MO  Credit Card (click here to pay online using PayPal shopping cart)

Checks/Money Orders made Payable to: CAEOP 

(No Purchase Orders Please—Returned Check Fee: $25.00) 

AMOUNT ENCLOSED: $

Checks or Money Orders to be made payable to: CAEOP

No Purchase orders please; Returned check fee: $25.00

If you wish to pay by mail print this page (keep a copy of your registration for your records before mailing) and Mail Payment made payable to CAEOP and Conference Registration to: 

 

Becky Shipley, Registration Chair

C/O Kern High School District

5801 Sundale Ave

Bakersfield, CA  93309-2924

Phone: 661-827-3154

email: bshipley@khsd.k12.ca.us 

Learn more about us

Visit our Website: www.caeop.org

CAEOP and its officers assume no responsibility for any personal injury or damage to property incurred by a member or guest of said Association while engaged in any Association-sponsored activity.