Registration Form – AHG 2004                                                        

Register by October 1^st to save on registration fees

Name ____________________________________________

Organization/Company_______________________________

Address___________________________________________                           

City, State, Zip  ____________________________________

Day  Phone __________________ Fax __________________

Email _____________________________________________

Make checks payable to the University of Colorado.  No refunds after October 15, 2004.

		By Oct 1	After Oct 1	Amount Enclosed
Tues–Weds 1 ½-day Preconference (Nov 9–10) Tues.:  1 pm – 5 pm  Workshops Weds.:  9 am – 4:30 pm  Workshops	o o	$100 $200	$125 $250
Thur –Fri  Main Conference (Nov 11 – 12) Package 1: All general workshops, keynote address, final lunch panel	o	$270	$340
Pre & Main Conference packages & per day rates Package 2:  Tues – Fri  (Nov. 9 - 12) Package 3:  Weds – Fri (Nov. 10 – 12)	o o	$485 $415	$620 $530
Thurs only  (Nov. 11)	o	$200	$250
Fri only (Nov. 12)	o	$200	$250
	Total Enclosed:

Tuesday Preconference Workshop Choice:   (1:00 p.m. - 5:00 p.m)

A.  Lab: Dreamweaver 2004 MX Accessibility

B.  Lab: Creating More Accessible and Usable Tagged Adobe PDF Documents

Preconference Workshops - Wednesday

Wednesday Morning Workshop Choice:   (9:00 a.m. - 12:00 p.m.)

A.  Lecture: Aligning the Pieces: A UDL Approach to Online Learning for All

B.  Lab: Achieving Web Accessibility with Section 508 (All day session)

C.  Lab: Supporting Student Success with WYNN

Wednesday Afternoon Workshop Choice:   (1:30 a.m. - 4:30 p.m.)

A.  Lecture: Focus on Screen Reader Features and Differences

C.  Lab: WebAim:  Web Evaluation & Repair using WAVE & WARP

Method of Payment: o Check enclosed   o Credit Card (MasterCard or Visa only)

Credit Card #:  Exp. date:

Signature:

Accommodations and Transportation Needs

Interpreter Needed: o Oral      o Sign Language      o Tactile

Alternate format & Communication:

o Braille   o Large Print    o Disk (ASCII)    o Assistive Listening Device

Care Provider coming with me

      (Name: )

o Accessible Parking Space

If you need wheelchair accessible transportation, please contact Special Transit (303-447-9636) prior to your arrival.

Other Accommodation

Meal Information

The conference includes a Deluxe Continental breakfast, hors d’oeuvres during the Thursday evening Vendor Hall reception and a buffet lunch during the Student Panel on Friday.  Coffee, tea & beverages will be provided Wednesday, Thursday & Friday.

Remember to enclose your credit card (MasterCard or VISA only) information or check, payable to the University of Colorado, with your registration form.

Returning This Registration/ More Information

Please fax this form to 303-492-5601 or mail to:

Disability Services

University of Colorado at Boulder

107 UCB

Boulder, CO  80309-0107

Call DS at 303-492-8671 (v/tty) for more information