Exhibitor Registration Form - COABE

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2013 National ConferenceLouisiana Literacy Lagniappe________________________________________________________________Presented by The Commission on Adult Basic Education andThe Louisiana Association for Public, Community, and Adult EducationQuestions? Contact us 9am-5pm ESTP: 1-888-442-6223 ● F: 866-941-5129E: info@coabe.org ● www.coabe.orgEXHIBITOR REGISTRATION FORM (continued)STEP 3: REGISTRATION OPTIONSBooth FeesSingle Booth $850 Multiple Booth $750 each Fleur De Lis Level Sponsor—No charge for 2 booths Mardi Gras Level Sponsor—No charge for 2 booths Gumbo Level Sponsor—No charge for 1 booth Additional Booths for Fleur De Lis, Mardi Gras, or Gumbo Level Sponsors(please indicate the number of additional booths required; ratesabove apply for additional booths not covered under sponsorship)____________Special booth needs:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________SINGLE-DAY REGISTRATION (for additional booth staff attending theconference)Includes one day of plenary sessions, concurrent sessions, andexhibits on selected registration day. (Pre-conference, ticketed onsiteawards events, and ticketed off-site tours are not included infull registration.)December 15, 2012 to February 15, 2013Sunday, March 24 Preconference half day $75 Full day $150Monday, March 25 Member: $250 Non-Member: $350Tuesday, March 26 Member: $250 Non-Member: $350Wednesday, March 27 Member: $250 Non-Member: $350Thursday, March 28 Member: $250 Non-Member: $350February 16, 2013 to March 15, 2013Monday, March 25 Member: $260 Non-Member: $345Tuesday, March 26 Member: $260 Non-Member: $345Wednesday, March 27 Member: $260 Non-Member: $345Thursday, March 28 Member: $260 Non-Member: $345On-SiteMonday, March 25 Member: $475 Non-Member: $550Tuesday, March 26 Member: $475 Non-Member: $550Wednesday, March 27 Member: $475 Non-Member: $550Thursday, March 28 Member: $475 Non-Member: $550STEP 4: PRE-CONFERENCE, SUNDAY, MARCH 24, 2013You may sign up for pre-conference regardless of whether you are attending the full conference. For more details on pre-conferencesessions visit the website at www.coabe.org. Please indicate the preconference of your choice on the line provided below.FULL-DAY PRE-CONFERENCE HALF-DAY PRE-CONFERENCE AM HALF-DAY PRECONFERENCE PM8:30 a.m.–4:00 p.m. 8:30 a.m.–11:30 a.m. 1:00 p.m.–4:00 p.m. Sunday ($150, includes lunch) Sunday morning ($75, lunch on your own) Sunday afternoon ($75, lunch on your own)___________________________________ _______________________________________ ________________________________________STEP 5: TICKETED ON-SITE EVENTSPlease indicate quantity C'est LA Vie, Sunday, March 24 , 6pm-8pm (one drink, appetizers, open bar)………………………………...#_____$25.00 per person $________ COABE New Member's/Conferees Welcome Meeting, Monday, March 25, 10:45am-11:30am…………………………………….#_____ No Charge COABE Awards Luncheon, Monday, March 25, 12pm-1:30pm…………..#_____$14.00 per attendee & #_____$45.00 per guest $_______ President's Reception, Monday, March 25, 6pm-8pm………………………………………………………………………………………………...#_____ No Charge LAPCAE Awards Luncheon, Tuesday, March 26, 12pm-1:30pm………...#_____$14.00 per attendee & #_____$45.00 per guest $_______ COABE Breakfast, Wednesday, March 27, 8am-9:30am…………………...#_____$14.00 per attendee & #_____$45.00 per guest $_______For event meals please specify: Vegetarian Kosher Special Dietary Restrictions:_________________________________________Grand Total for Ticketed On-Site Events =$COABE/LAPCAE 2013 National Conference 2
Questions? Contact us 9am-5pm ESTP: 1-888-442-6223 ● F: 866-941-5129E: info@coabe.org ● www.coabe.org2013 National ConferenceLouisiana Literacy Lagniappe________________________________________________________________Presented by The Commission on Adult Basic Education andThe Louisiana Association for Public, Community, and Adult EducationEXHIBITOR REGISTRATION FORM (continued)STEP 6: EVENT REGISTRATIONFor Complete tour times, event transportation description and information, information complete regarding description, transportation and age and requirements age requirements for children, is available visit website the website at www.coabe.org.atwww.coabeinvirginia2012.org Mardi Gras Party/Dinner~Mardi and click Gras on World, Events. Tues, Pre-registration March 26 (6pm-10pm)…...#_____$50.00 required for ticketed off-site adult events. + #_____$25.00 child $ ________QuantityQuantitySpecial New Orleans Conference City Tour, Event Wednesday, March 27 (10am-1pm)………………………….#_____$50.00 adult$ ________ Welcome New Orleans to Norfolk City Tour, Tour, Thursday, Monday, March April 928 (1pm-5pm) (10am-1pm…………… ………….#_____$50.00_____ adult x $53.00 =$ ________ $ ________ Swamp Romp, Wednesday, March 27 (11am-2:30pm)………………………………...#_____$75.00 adult + #_____$57.00 child $ ________Preconference Jamestown/Williamsburg Excursion, Tuesday, April 10 (9am– 5:30pm) _____ x Pricing Needed Swamp Romp, Thursday, March 28 (11am-2:30pm)……………………………………..#_____$75.00 adult + #_____$57.00 child $ ________Preconference VA Living and Mariner’s Living Museum, Tuesday, April 10 (9am—4:30pm) _____ x $45.00 adult _____ x $35.00 child=$Uptown________on the Avenue, Thursday, March 28 (10am-2pm)…………… ……………….#_____$50.00 adult$ ________ War and Remembrance, Thursday, March 28 (1pm-5:15pm)… .#_____$75.00 adult + #_____$55.00 child (5-18 yrs) $ ________President’s Reception/2013 Conference Event , Tuesday, April 10 (6pm-9:30pm), FREE _____ x No Charge Ghostly Galavant, Thursday, March 28 (1pm-4:30pm)…………………………………...#_____$75.00 adult + #_____$70.00 child $ ________Spirit of Norfolk Dinner Cruise, Wednesday, April 11 (6:30pm-10pm) _____ x $49.00$ ________FREE to All Registered Attendees: “A Taste of New Orleans Field Trips” ~ Lunch Provided, Thursday, March 28th - Departure Times VaryCOABE Regional Meetings, Thursday April 12 (7:30am-8:30am) FREE, door prizes!_____ x No ChargeExploreNew Orleansthe VALearnerBeachWebBoardwalk,(LiteracyThursday,and Technology)…………………………………………………...#_____FREEApril 12 (see program for departure information) _____+x15.00#_____$15.00adult _____Guestx $10.00$________child =$ Delgado ________ Community and Technical College (Transitions/Post Secondary Ed)………………...#_____FREE + #_____$15.00 Guest $________ Colonial Cafe Reconcile Williamsburg/Yorktown (Youth Initiatives)………………………………………………………………………………...#_____FREE Excursion Tour, Friday, April 13 (9am-5pm)+ x $75.00 #_____$15.00 adults only Guest _____ $________ x$51.50 The Lindy child Boggs (children Center 6 and for under Community are free) Literacy (Community Development =$ ________ and Family Literacy)…... #_____FREE + #_____$15.00 Guest $________ Busch Youth Empowerment Gardens, Friday, Project, April 13 NOPLAY (9am-7:30pm) (Youth Initiatives) ……………………………………………..#_____FREE x $85.00 adults only _____ + #_____$15.00 x $75.00 child Guest (children $________ under3 are free)Grand Total Amount for Offsite Events =$ ________Grand Total Amount for Preregistration Events =$ ________Post-Conference Cruise onboard the Carnival Elation ~ Departing from the New Orleans Cruise Terminal at 4:00 pm, Thursday, March 28th withone port-of-call in Cozumel, Mexico, returning to New Orleans at 10:00 am, Monday, April 1st. Group Cruise Rates will vary from approximately$300 to $700, depending on group participation and individual cabin selection. Please indicate the number of persons, number of cabins, andcabin type you may be interested in booking. Cruise details will be sent to all interested persons in January, 2013.#_________ Crusiers #__________ Cabins Needed Type of Cabin(s) needed: #____Inside #____Window #_____SuiteSTEP 7: CALCULATE YOUR FEESPlease calculate your total registration feesbased upon steps 3–6.Booth FeesAdditional Booth StaffConference Registration$__________$__________$__________Pre-Conference Registration $__________STEP 8: COMPLETE YOUR PAYMENT INFORMATIONAll fields, including billing address, must be completed in order to process your registrationpayment. Remember, if you are paying by check, please make it payable to: COABE.FEE TOTAL (from STEP 7)______________________________________________________Check (payable to COABE) Check #_____________________________________________Credit Card: American Express Discover MasterCard VISACard Number___________________________________________ CSV#________________Ticketed On-Site Events$__________Billing Address______________________________________________________________Ticketed Off-Site Events & Tours $__________Grand Total Amount$__________I acknowledge that I have read, understand,and agree to the Exhibitor Guidelines. Signature: ____________________________Billing City/State/Zip_________________________________________________________Telephone__________________________________________________________________E-mail_____________________________________________________________________Name on Card______________________________________________________________Cardholder Signature ___________________________________ Exp. Date ____________COABE/LAPCAE 2013 National Conference 3
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