ISTE 2013 Registration FormSan Antonio Convention Center • San Antonio, Texas

June 23–26, 2013

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First Name Last Name

Job Title

School/Organization/Company

Address (Home/Work—please circle which)

CityState/Province ZIP/Postal Code Country (if not U.S.)

Work Phone

Cell Phone Home Phone

E-mail Address Fax Number

Attendee InformationISTE 2013 Registration Timeline• Super Early-Bird by March 31• Early-Bird by May 1• Mail registration by June 7• Web, phone, and fax registration

open through June 17• Onsite registration June 22–26

Conference CancellationsAccepted in writing through June 17.A $105 fee will apply. Student, Retired Educator, and One-Day registration cancellations subject to $65 fee.

Registration InformationFax: 1.541.346.3545Phone: 1.541.346.3537, M–F,8 am–5 pm PTMail: ISTE 20131277 University of OregonEugene, OR 97403-1277conf-reg@iste.org

Membership Questions541-302-3777 or 800-336-5191 ext 500iste@iste.org

*Note: Your ISTE membership must be current through June 26, 2013, to qualify for ISTE member pricing. Super Early-Bird Early-Bird Pre-Reg/Onsite Through March 31 Through May 1 After May 1

ISTE Member* . . . . . . . . . . . . . . . . . . . . $239. . . . . . . . . . $279 . . . . . . . . . $309 $________ Member number: ______________________ Expiration Date: _______________

General Public (Non-Member) . . . . . . . . $344. . . . . . . . . . $384 . . . . . . . . . $414 $________ (includes ISTE membership)

General Public (Non-Member) . . . . . . . . $344. . . . . . . . . . $384 . . . . . . . . . $414 $________ (declining ISTE membership)

Group of 10 or more ISTE Members . . . $239. . . . . . . . . . $239 . . . . . . . . . $239 $________ Member number: ______________________ Expiration Date: _______________ Group Contact Name: _______________________________________________

Group of 10 or more Non-members . . . . $344. . . . . . . . . . $344 . . . . . . . . . $344 $________ (includes ISTE membership) Group Contact Name: _______________________________________________

Presenter and ISTE Member . . . . . . . . . $239. . . . . . . . . . $239 . . . . . . . . . $239 $________ Member number: ______________________ Expiration Date: _______________

Presenter Nonmember . . . . . . . . . . . . . . $344. . . . . . . . . . $344 . . . . . . . . . $344 $________ (includes ISTE membership)

Volunteer and ISTE Member . . . . . . . . . $239. . . . . . . . . . $239 . . . . . . . . . $239 $________ Member number: ______________________ Expiration Date: _______________

Volunteer Non-member . . . . . . . . . . . . . $344. . . . . . . . . . $344 . . . . . . . . . $344 $________ (includes ISTE membership)

One-Day Registration. . . . . . . . . . . . . . . $175. . . . . . . . . . $195 . . . . . . . . . $210 $________ Indicate Day: Monday Tuesday Wednesday

Retired Educator . . . . . . . . . . . . . . . . . . $160. . . . . . . . . . $160 . . . . . . . . . $160 $________ Full-Time Student and ISTE Member. . . $160. . . . . . . . . . $160 . . . . . . . . . $160 $________

Member number: ______________________ Expiration Date: _______________ Full-Time Student Non-member . . . . . . . $205 . . . . . . . . . . $205 . . . . . . . . . $205 $________ Full-Time Student Non-member . . . . . . . $205. . . . . . . . . . $205 . . . . . . . . . $205 $________

(declining ISTE membership) Guest Registration . . . . . . . . . . . . . . . . . $150. . . . . . . . . . $150 . . . . . . . . . $150 $________

Conference Registration

Office use (web download)

Guest RegistrationAllows entrance into the opening reception and the exhibit hall only. Does not include attendance to sessions or workshops. Students under 16 andregistered for ISTE 2013 may explore the exhibit hall when accompanied by an adult registrant.

I would like to bring a guest for a fee of $150 (one guest per registrant only).

______________________________ Guest Name

*ISTE Member Rate

List affiliate name:________________________________New or renewing ISTE Affiliatemembers receive $10 discount off standard membership .

Your membership must be current through June 26, 2013. If your membership will expire prior to this date, please renew below in order to receive the ISTE Member rate.

I want to renew my ISTE membership for $105. (1 year standard membership)

If you need an alternate ISTE membership category please contact the Membership Office at: E-mail: iste@iste.org Phone: 541-302-3777 or 800-336-5191 ext. 500

ISTE Affiliate

Please exclude my name and postal address from third-party special deals, new products, and service offer mailings. ISTE does not release or sell e-mail addresses to outside entities.

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Attendee Name: ________________________________________________________________________________________________________

Conference Workshops

conference fee $________ + guest fee $________ = total fees $_________

By May 1 After May 1Mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $49 . . . . . . . . . . . . . . . . . . . . . . . . . . $54Half-Day Workshops* . . . . . . . . . . . . . . . . . $99 . . . . . . . . . . . . . . . . . . . . . . . . . . $109Full-Day Workshops* . . . . . . . . . . . . . . . . . . $199 . . . . . . . . . . . . . . . . . . . . . . . . . $219* unless otherwise specified Enter Workshop Code First Choice Second Choice Third Choice

Saturday Full-Day, 8:30 am–3:30 pm ___________ ___________ ___________ $_________

Saturday Morning, 8:30–11:30 am ___________ ___________ ___________ $_________

Saturday Afternoon, 12:30–3:30 pm ___________ ___________ ___________ $_________

Sunday Full-Day, 8:30 am–3:30 pm ___________ ___________ ___________ $_________

Sunday Morning, 8:30–11:30 am ___________ ___________ ___________ $_________

Sunday Afternoon, 12:30–3:30 pm ___________ ___________ ___________ $_________

Monday Morning, 8:30–11:30 am ___________ ___________ ___________ $_________

Monday AM Mini 1, 8:30–10:00 am ___________ ___________ ___________ $_________

Monday AM Mini 2, 10:30 am–12 pm ___________ ___________ ___________ $_________

Monday Afternoon, 12:30–3:30 pm ___________ ___________ ___________ $_________

Monday PM Mini 1, 12:30–2:00 pm ___________ ___________ ___________ $_________

Monday PM Mini 2, 2:30–4:00 pm ___________ ___________ ___________ $_________

Monday Evening, 4:30–7:30 pm ___________ ___________ ___________ $_________

Tuesday Morning, 8:30–11:30 am ___________ ___________ ___________ $_________

Monday AM Mini 1, 8:30–10:00 am ___________ ___________ ___________ $_________

Monday AM Mini 2, 10:30 am–12 pm ___________ ___________ ___________ $_________

Tuesday Afternoon, 12:30–3:30 pm ___________ ___________ ___________ $_________

Tuesday Evening, 5:15–6:45 pm ___________ ___________ ___________ $_________

Wednesday Morning, 8:30–11:30 am ___________ ___________ ___________ $_________

TOTAL WORkSHOP FEES $_________

Special Conference EventsCheck the website for additional special events and tours.

SETSIG Forum—Monday, June 24, 8:00am–9:30am $0 MSETSIG $_________

SIGAdmin Forum—Monday, June 24, 8:00am–9:30am $15 MSIGAD $_________

SIGOL Forum—Monday, June 24, 8:00am–9:30am $0 MSIGOL $_________

SIGML Forum—Monday, June 24, 11:00am–12:00pm $0 MSIGML $_________

SIGCT Forum—Monday, June 24, 4:00pm–5:30pm $0 MSIGCT $_________

SIGTC Forum—Monday, June 24, 4:00pm–5:30pm $0 MSIGTC $_________

To the Alamo and Beyond: QR Code Walking Tour— Tuesday, June 25, 10:30am–12:30pm $0 TSIGML $_________

SIG1:1 Forum—Tuesday, June 25, 2:00pm–3:00pm $0 TSIG1T1 $_________

SIGGS Forum:—Tuesday, June 25, 2:00pm–3:00pm $0 TSIGGS $_________

SIGIVC Forum—Tuesday, June 25, 3:45pm–5:15pm $0 TSIGIVC $_________

SIGMS Forum—Tuesday, June 25, 3:45pm–5:15pm $0 TSIGMS $_________

SIGTE Forum—Tuesday, June 25, 3:45pm–5:15pm $25 TSIGTE $_________

SIGILT Forum—Wednesday, June 26, 8:00am–9:30am $0 WSIGILT $_________

SIGMS (Media Specialist) Annual Breakfast Meeting— Wednesday, June 26, 8:00am–9:30am $5 WISGMS $_________

Online Learning Institute—Wednesday, June 26, 8 am–3 pm $129* WOLL $________

* $159 AFTER MAY 1

TOTAL EVENT FEES $________

Payment InformationA purchase order or check must accompany this form.

Credit card payments are accepted online only at: http://isteconference.org/2013/registration/ (Do not complete this form).

Pay by Check (mailing address on page 1)

Pay by Purchase Order

P.O. Number

Billing Contact Name

Phone

Company Name

Billing Address

City State/Province

Zip/Postal Code Country (if not U.S.)

Demographics

_________________________________________

I would like more information about . . .

Volunteering at ISTE Academic/Non-academic Credit

Other

This is my first ISTE Conference*

*formerly the National Educational Computing

Conference (NECC).

I will need accommodations for an ADA disability.

Please explain:

_____________________________________

_____________________________________

Superintendent Staff Developer (k-12)Assistant/Deputy Superintendent Teacher/Faculty (Pk-12)Principal Teacher/Faculty (Higher Ed School of Ed)Assistant Principal Teacher/Faculty (Higher Ed NON School of Ed)CIO Computer Lab SupervisorTechnology Director

Librarian/Media SpecialistTechnology Coordinator/Specialist Student/Pre-ServiceFacilitator Federal ProgramsCurriculum Director Consultant/TrainerCurriculum Coordinator/Specialist Retired Not Applicable Other:_____________

Primary Job Function: (choose one)