Registration Form

Register by October 6th 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 13, 2003.

    By
Oct 6		 After Oct 6 Amount Enclosed

Tues-Weds 1 1/2-day Preconference
(Nov 11-12)
Tues: 1 pm - 5 pm Workshops
Weds: 9 am - 4:30 pm Workshops *

o
o

$140
$200

$170
$250 		 
Thurs - Fri Main Conference (Nov 13 - 14)
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. 11 - 14)
Package 3: Weds - Fri (Nov. 12 - 14)

o
o




$525
$415

$650 $530 		 
Thurs only (Nov. 13) o $200 $250  
Fri Only (Nov. 14) o $200 $250  

*Scholarships for Community Colleges

Through an NSF grant, scholarships are available for Community Colleges attending the Wednesday NCAM session. Contact us (see previous page for details)

 

 

 

o

 -$ -$ -$
   
Total
Enclosed
  

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

A.Lecture: Implementation of Section 508 in the University Environment

B. Lab: Improving Access to Windows Using Macro Software

Wednesday Preconference Workshop Choice: ____ (9:00 a.m. - 4:30 p.m.)

A. Lecture: NCAM and 'The League' - An Accessibility Forum

B. Lab: Achieving Web Accessibility with Section 508

C. Lab: Building Blocks to Instructional Design


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

Credit Card #:___________________________ Exp. date:

Signature:

Accommodation and Transportation Needs

Interpreter Needed:     o Oral     o Sign Language    o Tactile

Alternate Format:

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

Care Provider coming with me

      (Name:______________________________________)

o Accessible Parking Space

o Wheelchair Accessible Transportation

Other

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

Please fax this form to (fax) 303-492-5601 or mail to:
Disability Services
University of Colorado at Boulder
107 UCB
Boulder, Colorado  80309