REGISTRATION FORM

The Power of Education Foundations:
A Strong Foundation for Vibrant Schools and Communities

Tuesday, October 6, 2009
Crowne Plaza Cromwell Hotel, Cromwell, CT

Yes, I will attend the 10th Annual Connecticut Conference for Education Foundations on Tuesday, October 6, 2009
Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
*required  
I am a

Foundation Board Member or Staff Member
Board of Education Member
Superintendent
Other: Specify

Name of Education Foundation:

Connecticut Consortium of Education Foundations Affiliate: Yes No

School District/Town:

Registration must be accompanied by a check or purchase order. Please complete form, then mail payment to:

CTCEF
P.O. Box 1032
Weston, CT 06883

$105 Conference Fee (conference only)

$95 CTCEF Affiliates Conference Fee (conference only)

$90 Early Bird Special (4 or more people from same organization. All 4 must register at the same time with check or purchase order that must be received by September 12)

Dutch Treat Oct. 5, 6:30 pm – Pre-Conference Networking Dinner at the Crowne Plaza Cromwell Hotel
Total:
Sending check  
Purchase Order #
Special dietary needs:
Registration/Cancellation Deadline: September 29, 2009.
Cancellations made within 5 working days of the program date will be charged $20. No-shows will be charged full fee.