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       

Mailing Address 

City                    

State                         Zip Code

Daytime Phone     

E-mail                      

School District      

Job Title      

Fax Number/Cell Number   

Local Affiliate, if applicable

Notary Certification class: includes full registration costs, materials workbook, instructor fee and box lunch (Thursday only)

(Includes full conference registration for Friday and Saturday, all conference materials, and the following meals: Lunch on Friday & Saturday and Saturday installation banquet)

Full Registration

  CAEOP MEMBER Register and Pay BEFORE 1/19/07  $245.00 

  CAEOP MEMBER Register and Pay AFTER 01/19/07 $265.00

  Retiree Registration  $220.00

  CAEOP Institutional member district  $275.00

  Non-CAEOP Member Register and Pay BEFORE 1/19/07 $285.00 

  Non-CAEOP Member Register and Pay AFTER 1/19/07 $300.00

Selection of Friday Workshops

 9:15am-10:45am Try to Remember   OR Remaining in Control

 1:30pm-2:45pm Take This Job OR Travel Safe and Smart

 3:00pm-4:15pm Adv. Admin. Skills  OR Technology Basics

One Day Conference Registration (Friday or Saturday only)

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

 Friday only includes registration, materials, and Awards Luncheon  $135.00

 Saturday only includes registration, materials, Luncheon and Installation Banquet $165.00

Additional Guest Tickets:

 Friday Lunch #_________@ $30.00 each

 Saturday Lunch #________@ $30.00 each

 Saturday Installation Banquet #_______@$50.00 each

 

Membership Renewal {Membership is April 1, 2007 to March 31, 2008}

 New "First-Time" CAEOP Annual Membership New Member Incentive $30.00 (during conference only, one time only) 

 Membership Renewal active member $40.00 

 

 Membership Renewal retiree member $20.00 

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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) 

TOTAL 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 to

Kathy Ramos, Conference Registrar

c/o Community Connection for Child Care

2000--24th St Suite 100

Bakersfield, CA  93301

661-861-5230 FAX: 661-861-5261 

Cancellations must be in writing. A $50.00 administration fee will be charged for any registration cancellation with refund. No refunds for "no-shows" or cancellations received after March 1, 2007.

CAEOP reserves the right to make reasonable substitutions in the event of speaker cancellation or conference room adjustments. 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.