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Community College Baccalaureate Association
Eleventh Annual International Conference

Hilton San Diego Bayfront

Meeting the Challenge
San Diego
February 25 - 27, 2011

Presentation proposal deadline is October 1, 2010

* = Required Fields
Date
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Last Name
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Name as it should appear on badge
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Fax
E-Mail Address
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Registration Fees - Please select appropriate category:
You may select to submit a membership application below and pay member conference fees.


Registration before March 1, 2010

Member - $375.00 per person      Non-Member - $550.00 per person

Registration after March 1, 2010

Member - $425.00 per person      Non-Member - $600.00 per person


Notes: The above registration fees include all conference meals and the cocktail reception on March 26 that will be held with the National Association of Community College teacher Education Programs.

Non-members will be given temporary membership status for one year.

Registration may be canceled for a full refund up to thirty days before the conference. Cancellations made up to two weeks before the conference will be charged a $100 cancellation fee. Cancellations will not be accepts within two weeks of the conference.



CCBA Annual Membership - optional with conference registration

Institutional Membership $500.00 - If submitting the institutional membership, all individuals attending the conference from the institution will receive the member registration rate.
Individual Membership $150.00



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If you are mailing this form, please return this form with your check (Payable to Community College Baccalaureate Association) or credit card information to:

Beth Hagan, Ph.D.
Community College Baccalaureate Association
c/o Edison Community College
P.O. Box 60210
Fort Myers, Florida 33906-6210

If you pay by credit card, and do not want to use e-mail, you may fax your application to 239-947-8870.

Note: The CCBA name will not appear on your credit card statement. The processing organization, Business Solutions of Naples will be shown.