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Regions I, II, and III PCCS.
Conference dates April 19th, 20th, 2010 |
REGISTRATION FORM - 2 DAY CONFERENCE
GENERAL REGISTRATION & EXHIBITORS
REGISTRATION
(CHECK WEBSITE FOR AGENDA TWO DAYS 08 TO 05 – regionspccs.com
“THE MID-ATLANTIC CONFERENCE”
Regions I, II & III Private Career Colleges & Schools 7th Annual
CONFERENCE DATE Workshop April 19th & 20th, 2010
REGION I – MAINE, VERMONT, NEW HAMPSHIRE, MASSACHUSETTS,
RHODE ISLAND AND CONNECTICUT
REGION II – NEW YORK, NEW JERSEY, PUERTO RICO, VIRGIN ISLANDS
REGION III – PENNSYLVANIA, WEST VIRGINIA, VIRGINIA, DELAWARE, MARYLAND, DISTRICT OF COLUMBIA
HOTEL
Make Your Hotel Reservations BEFORE March 18th, 2010
The Hilton Philadelphia Airport 4509 Island Ave, Philadelphia, Pa. 19153
Location near the Philadelphia Int’l Airport – Shuttle service is provided
Phone (215) 365-4150
REGISTRATION
THE CONFERENCE STARTS ON MONDAY AT 8:00AM & ENDS TUESDAY AT 4:00PM
General Registration Fee $200 per person per conference
Or
Exhibitors Only Registration Fee $800 per conference
PLEASE PRINT PLEASE PRINT
Attendees name_______________________________________________
Attendees name_______________________________________________
Attendees name_______________________________________________
Attendees name_______________________________________________
Attendees name_______________________________________________
Institution____________________________________________________
Address______________________________________________________
Phone number_______________________Fax______________________
E-mail______________________________________________print clearly
General Registration Number of Attendees_________ $ Amount_______
Or Exhibitors Registration $ Amount________
Please make your check payable and mail to:
Regions I, II & III PCCS c/o Larry Prather Ex. Dir.
P. O. Box 20896, Wichita, Ks. 67208 (316) 682-1838
E-mail larryprather@cox.net Website - regionspccs.com
(Please read & complete the the bottom of this registration form)
Regions I, II & III PCCS Conference April 19 & 20, 2010
SPECIAL ACTIVITIES NEED TO SIGN-UP
* We will be playing golf at the Springfield Country Club on Sunday at 10:00am, we
eat breakfast at the Hotel at 8:00am and Black Car Service leaving the hotel
at 9:00am to the golf course and return to the hotel about 3:00pm.
Please sign-up if you want play:
NAMES____________________________________________________
(we will contact you after we receive your information)
COMMNENTS:_________________________________________________________
* If you have a special talent, we are going to have the Regions I, II & III PCCS
Mid-Atlantic Has Talent contest on Monday April 19 during the hospitality
in the Independence Ballroom. The Welcome Hospitality Reception starts at
5:30pm and the Regions I, II & III PCCS Mid-Atlantic Has Talent starts at
6:30pm. We invite all attendees, the USDE, Exhibitors, Presenters & School
Personnel to enter the Talent Show.
PLEASE SIGN-UP IF YOU HAVE A SPECIAL TALENT
The first place prize $300, second place prize $200 & third place prize $100
The Audience in the Independence Ballroom will determine the winners. The MC
will be Terry Hopkins with Larry Prather, Debbie Dunn & Bob James will be the
judges. Therefore, you need to sign-up and list your special talent on this form.
(this activity will depend on the number of signed up)
NAME__________________________________TALENT______________________
NAME__________________________________TALENT______________________
NAME__________________________________TALENT______________________
COMMENTS:__________________________________________________________