Retention 2008

Please use this online registration form to register for RETENTION 2008. If you are paying by check, please indicate this on the form. All checks must be received by Wednesday, April 30, 2008 to secure a spot at the conference. All registrations made after that date must be paid by credit card.

Title:

Mr.

Mrs.

Ms.

Dr.

* First Name:

MI:

* Last Name:

Title:

Preferred Name for Badge (First Name only):

Institution Name:

* Address:

* City:

* State/Prov:

Country:

* ZIP/Postal Code:

* Phone:

Fax:

* Email Address:

How did you find out about Retention 2007?

Conference Registration Fees

$195 Pre-Conference Workshop Fee (Workshop A - Swail Dietsche)

$195 Pre-Conference Workshop Fee (Workshop B - Goff)

Early Bird Registration (ENDED March 15, 2008)

$395 Student Registration

Regular Registration (ENDED April 30, 2008)

$795 Late Registration (May 1, 2008 to the conference)

PLEASE NOTE: To register as a student, registrants must be enrolled in a minimum of 9 credit hours in the current semester. A current student card will be required at conference check in.

Payment Method

Please indicate how the registration fee will be paid. If paying by check, payment must be received by the closing date of each fee level (Example: Early Bird Registration fees must be received by March 15, 2008). All registration fees must be paid in full before the start of the conference.

If paying by check, once you complete this form you will be complete. Although this form will send you to PayPal, please ignore.

Check

Credit Card

All checks should be made out to The Educational Policy Institute and mailed to:

RETENTION 2008
c/o Educational Policy Institute
2401 Seaboard Rd. Suite 104
Virginia Beach, VA 23456

EPI's Federal Tax ID Number is: 82-0564426

Substitution and Cancellation Policy

All changes, substitutions, and cancellations must be made in writing. Substitutions may be made without penalty. Email info@educationalpolicy.org to make any changes. A full refund of fees, less a $100 administrative fee, will be made for all requests submitted prior to Friday, April 11, 2008. The Educational Policy Institute reserves the right to cancel RETENTION 2008 in the event of insufficient registration. The Educational Policy Institute will not be responsible for any losses incurred by registrants, including, but not limited to, airline cancellation charges or hotel deposits.

Program Accessibility

If you have special needs and require accommodation to fully participate, please email a description of your requirements to info@educationalpolicy.org by Thursday, May 1, 2008.

Instructions for Submitting Registration Form

To submit this form, please click on the “Continue” button below, verify your contact information and click on “Continue to Paypal” to complete your registration. If you are paying by credit card, please fill out the PayPal form that pops up when you finish registering. For those paying by check, you may close this screen. Your registration will not be complete until EPI has received payment in full for the registration fee.

You should receive a confirmation email within 10 minutes of submitting your form. Please verify that your contact information is correct. If you do not receive a confirmation email, or if you have any questions, please contact us at info@educationalpolicy.org or (757) 430-2200.

* Indicates Response Required