Registration Form
Registration Fee
Through February 16, 2001: $100
Feb. 17 - March 9, 2001:
$125
On site:
$150
Registration includes the meals and breaks shown in the conference
schedule.
Name (required) ________________________________________________________
Badge Name (required) ___________________________________________________
Organization (required) ___________________________________________________
Department ____________________________________________________
Address (required) ____________________________________________________
City/State/Zip (required) ___________________________________________________
Telephone (required) _____________________________________________________
E-mail _____________________________________________________
Mail registration form with check payable to Clemson University to:
Coalitions Conference
107 Riggs Hall
Clemson University
Clemson, SC 29634-0901.
or
Fax registration form with payment by credit card (Visa, MC, DI) to (864) 656-0859.
Type of Card___________ Account #______________________ Exp. Date ____________
Name on Card __________________________________________________
Signature __________________________________________________
Lodging
For lodging at the Conference
Center, call the Martin Inn directly (1-888-654-9020) by February
16, 2001 and ask for the Coalitions Conference rate (single/double
rooms $89, suites $109).