Instructions: Forms received after January 14, 2011, will be processed at the higher fee. Registration
closes March 14, 2011, at which time onsite registration fees apply.
PAYING WITH A CREDIT CARD? REGISTER ONLINE. IT’S FAST AND EASY:
WWW.AACC.NCHE.EDU/CONVENTION
NEW ORLEANS
Attendee Information (One person per form. Please type or print clearly.)
_______________________________________________________________________________________________________________________________________________________
First Name Middle Last Name Nickname for Badge (not Dr., Ms., or full name)
_______________________________________________________________________________________________________________________________________________________
Job Title College/Organization
_______________________________________________________________________________________________________________________________________________________
Address City State/Country (other than U.S.) Zip/Mail Code
_______________________________________________________________________________________________________________________________________________________
Phone Fax Email (Must be attendee’s email address.)
Do you have a disability that requires special accommodations? Yes* o No o Do you have dietary restrictions? Yes* o No o (* If yes, AACC will contact you.)
Registration Rates
o Package: $735
(After Jan. 14: $835;
After March 14: $850)
•;Convention;Registration
•;Access;to;Exhibit;Hall;&;Events
•;Hail;&;Farewell;Luncheon
•;Gala;Reception;&;Dinner
•;Tuesday;Brunch
Spouse/Guest Information
____________________________________________________________________________
First Name Middle Last Name
____________________________________________________________________________
Nickname for Badge (not Dr., Ms., or full name)
Complete;only;if;paying;Spouse/Guest;Registration;Fee.;Only;registered;spouses/
guests receive a badge, program book, and other materials
Emergency Contact
o Spouse/Guest: $300
(After Jan. 14: $350)
•;Convention;Registration
•;Access;to;Exhibit;Hall;&;Events
•;Hail;&;Farewell;Luncheon
•;Gala;Reception;&;Dinner
•;Tuesday;Brunch
o Base: $650
(After Jan. 14: $750;
After March 14: $850)
•;Convention;Registration
•;Hail;&;Farewell;Luncheon
•;Access;to;Exhibit;Hall;&;Events
Day Rates
o Monday, April 11: $450
•;Meal;Event;Ticket;(Sun.:;Hail
&;Farewell;Luncheon/Mon.:
Gala;Reception;&;Dinner)
o Sunday, April 10: $350
•;Convention
Registration
•;Access;to;Exhibit
Hall;&;Events
Ticketed Events (Tickets are not usually available on site.)
tickets
x;______
x;______
x;______
x;______
x;______
Presidents Academy Hail & Farewell Luncheon;(Sun.);$50
Outstanding Alumni Gala Reception & Dinner;(Mon.);$95
Brunch;(Tues.);$45
New Orleans City Tour;(Mon.;9: 30;am;–;12:00;pm);$35
New Orleans Community Service Project;(Sat.;8: 30;am;–;12: 30;pm);$25
Preconvention Workshops $250 each
First AACC Convention? o Yes o;No;First–time;CEO?;o Yes o No
Job Classification: (please check one)
o;President/CEO;o;Business;Officer;o Vice President o Dean
o;Business/Industry;Liaison;o;Occupational;&;Technical;Programming;Officer
o;Government;o;Other;_____________________________________________
(Space may not be available on site. Convention registration is not required
to register for a workshop. Descriptions available on the AACC Web site.)
tickets
A: New CEO Institute;(April;8;&;9);$;__________
B: Interviewing for the Presidency;(April;8;&;9);$;__________
C: Show Me the Money: (April 9) __________
D: Breaking the Stained Glass Ceiling (April 9) __________
E: Leveraging Data in Strategic Planning (April 9) __________
F: The Butterfly Effect (April 9) __________
NE W!
Virtual Annual Convention (Full description on AACC Web site.)
o Convention Registrant $99 (After March 14: $129; After April 12: $199)
o;Non-registrant;$249
Demographic Information
____________________________________________________________________________
First Name Middle Last Name
____________________________________________________________________________
Phone Relationship
Payment
Check enclosed (Payable to AACC)
Check #______________________________
_____________________________________
Card Number
_____________________________________
Expiration;Date
_____________________________________
Name as It Appears on Card
_____________________________________
Signature
o Invoice Me
Package __________
Base;$;__________
Spouse Pkg __________
Sunday;Only;$;__________
Monday;Only;$;__________
Hail;&;Farewell;$;__________
Gala;Dinner;$;__________
Brunch;$;__________
City;Tour;$;__________
Community Svc __________
Workshop A __________
Workshop;B;$;__________
Workshop C __________
Workshop D __________
Workshop;E;$;__________
Workshop F __________
Virtual Registrant __________
Virtual;Non-registrant;$;__________
Credit Card:
o Visa o MasterCard o;Am;Ex
Mail to: AACC Convention,
P.O.;Box;75263,;Baltimore,;MD;21275
Fax:;202-354-4660
TOTAL DUE
__________
Cancellation and Privacy Policy
Cancellations;must;be;made;in;writing;to;AACC;Convention,;P.O.;Box;75263,
Baltimore,;MD;21275.;If;postmarked;by;March;9,;fees;will;be;refunded;minus;$250
(spouse and day rate registration cancellation fee is $100). After March 9, no refunds
will;be;given.;Approved;refunds;will;be;mailed;or;credited;after;May;31,;2011.;The
AACC Privacy Policy is available on the AACC Web site.
