CLICK HERE To Bypass This Registration Form and go directly to the Payment Page. (Please make sure you have already completed the Registration Form below). Membership Dues may be paid with the Conference Registration on the Payment Page.

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First and Last Name(Required)

Last Name (Required again)

Name on credit card (if not the same as above) or

School District PO#

Your Street Address:

City State/Province Zip/Mail code

Home Phone: Work Phone: Cell Phone:

E-mail:

Name Badge(s): Please print how you would like yours to read.

 I would like to be a Volunteer...sign me up! Yes

I am a current CTEBVI member Yes, already paid Yes - Life Member No - I am paying with Registration No - Sending Dues Separately Not Sure

Journal Format Please select how you would like your Journal sent BRAILLE VIRTUAL-email PRINT

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REGISTRATION FEES

Workshops are open to members only. Please include Membership dues with your registration if you are not a current member. All $US.

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Earlybird Registration (postmarked/online prior to midnight 2/15/2012) = $135

Bargain Earlybird Registration (includes 3 meals) = $235

On Time Registration (postmarked/online 2/16 prior to midnight 2/29/2012) = $150

Late Registration(postmarked/online on or after 3/1/2012) = $175

Saturday Only Workshops (Includes Banquet) - $110

Three Meal Deal (Save $25) = $100

Two-Meal-Deal (Fri Lunch and Sat. Banquet - Save $10) = $85

*Visually Impaired Family members' registration is FREE to current members

(*One Family member must be a CTEBVI current 2012 member)You may include your membership payment on the payment page.

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RECEPTIONS:

Thursday: Welcome Reception - Hors d'oeuvres & No-Host Bar Yes, Sounds Fun No, Sorry

Friday: Exhibitor's Reception - Hors d'oeuvres & No-Host Bar Yes, Sounds Fun No, Sorry

Saturday: President's Reception: Free of charge. No-Host Bar. Yes, Sounds Fun No, Sorry

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MEMBER MEALS:

Meal descriptions are available in the Conference Registration Packet.

Friday Lunch: Cobb Salad Hoisin Glazed Chicken Vegetarian Vegan

Saturday Banquet: Grilled Salmon Braised Short Ribs Vegetarian Vegan

Sunday Brunch: Scrambled Eggs French Toast Vegan Vegetarian

Note: Non-diners are welcome at all meal functions. Separate seating will be made available.

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GUEST MEALS:

Your Guest(s) are welcome, Please select their meals below:

Please enter number of guest meals for each day

Friday Guest Lunch:

Cobb Salad - 1 2 3 4 5
Hoisin Glazed Chicken- 1 2 3 4 5
Vegetarian - 1 2 3 4 5
Vegan - 1 2 3 4 5

Saturday Guest Banquet:

Grilled Salmon - 1 2 3 4 5
Braised Short Ribs - 1 2 3 4 5
Vegetarian - 1 2 3 4 5
Vegan - 1 2 3 4 5

Sunday Guest Brunch:

Scrambled Eggs - 1 2 3 4 5
French Toast - 1 2 3 4 5
Vegetarian - 1 2 3 4 5
Vegan - 1 2 3 4 5

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BRAILLE REQUIREMENTS:

Conference Program: Please select here if you require Braille Braille

(The Program will be posted online as soon as it is available before conference.)

Workshop handouts: Please select here if you require Braille Braille

Guide Dog Orientation Yes, Thanks

Hotel Orientation Yes, Thanks

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ACVREP:

Continuing Education Units are being offered. There will be an ACVREP fee of $35, payable in advance with your registration fee. This fee will allow you CEU's for an unlimited number of workshops. You will get instructions for receiving certificates after conference. Yes, I want it

If yes, e-mail required

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Pre-Conference Tours:

Below are the preconference tours this year. Please specify how many people will attend.

Tour - Getty Museum (se Details in Packet) ... please specify how many 1 2 3 4 5  

Tour - Dr. Bill's Center (See Details in Packet) ... please specify how many 1 2 3 4 5

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Workshop Information:

Please indicate your workshop choice by using the drop-down menu boxes below.
See Conference Registration Packet for descriptions:

Workshops At A Glance - (Includes Changes)

Friday, March 16

Saturday, March 17

Sunday, March 18

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PLEASE REVIEW YOUR CHOICES BEFORE CONTINUING.

Missed it before..... I would like to be a Volunteer...sign me up! Yes

PLEASE PRINT THIS PAGE FOR YOUR RECORDS(ctrl+P), You will not be sent a copy. THEN click "Submit"

03/01/2012