TAHPERD Registration Form

Topics: Credit card, MasterCard, Purchase requisition Pages: 1 (352 words) Published: April 26, 2015
2014 TAHPERD SUMMER CONFERENCE REGISTRATION FORM

Embassy Suites Dallas-Frisco Hotel & Convention Center | Frisco, Texas | July 13 – 15, 2014 Current Member: c Yes

Name

Member ID #

Exp. Date

c No

ALL ATTENDEES MUST BE CURRENT TAHPERD MEMBERS

ISD/University/Other Employer
Campus/School Name

Work Phone

Home Phone

Cell

Home Mailing Address

Email

City/State/Zip

Special Needs (dietary or physical requiring special accommodations)

D
SOLT
OU

By registering for this conference, I hold harmless TAHPERD, the Embassy Suites staff, and the attendees participating in the conference for any and all liability damages that may stem as a result of participating in this conference. I understand that TAHPERD and the Embassy Suites assumes no liability for loss or damage to any person or property.

CANCELLATION/REFUND POLICY: Cancellations must be made in writing and postmarked no later than June 27, 2014. Send requests to the TAHPERD Office. All cancellations are subject to a 25% processing fee. NO CANCELLATIONS will be accepted after June 27, 2014. Cancellation refunds will be issued within 4-6 weeks after the conference.

PARENTS - Because of legal liability and the concerns of other professionals, children are not allowed at the conference unless they are part of a scheduled program or activity.

MAIL, FAX, OR REGISTER ONLINE

Mail To:
TAHPERD Summer Conference
7910 Cameron Road
Austin, Texas 78754
Fax To: 512.459.1290
(Do not fax registration forms
if paying by check)

REGISTER ONLINE

www.tahperd.org

Questions ? Call 512.459.1299 or 800.880.7300

PAYMENT INFORMATION:

c Check enclosed payable to TAHPERD

$

Check Number

Amount

c Charge (Amount) $__________ to:
c MasterCard

c Visa

Card Number

c Discover
Exp. Date

c AMEX
CSC (last 3 digits)

Signature

c Purchase Order Enclosed (NO PO’s accepted after June 27, 2014.) IF PAYING WITH A SCHOOL PURCHASE ORDER,
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