Share the Future - II
A Working Conference

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).