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Event Registration/Hotel Reservation Form University System of Georgia Teaching and Learning Conference
Best Practices for Promoting Engaged Student Learning - #90533 April 10-12, 2019
EXHIBITOR REGISTRATIONThe exhibitor registration fee includes one conference registration and one table/exhibit
space (3 x 6) for Wednesday, April 10th and Thursday, April 11th. Each additional table or
equivalent space is $50. The conference registration fee includes all sessions and
keynotes, refreshments, lunch on Wednesday, Thursday, and Friday, and the social
reception on Wednesday evening.
Registration FeesOne table (3 x 6) on or before February 15 ...............................$ 350 One table (3 x 6) after February 15............................................. $ 400 Each additional table or equivalent space ......................................$ 50
An exhibitor registration is for one attendee representing one company or one event. If you would like to exhibit for additional organizations or events, please register separately for each company or event you plan to represent.
Each additional person attending needs to register as a regular attendee at the attendee registration rate. Attendee Registration is available on the conference website.
Deadline to submit conference logos for program: February 22, 2019
Guest for Wednesday Lunch .................................. $30
Guest for Thursday Lunch .......................................$30
Guest for Friday Lunch .............................................$30
Yes ❏ No ❏
Yes ❏ No ❏
Yes ❏ No ❏
Yes ❏ No ❏
Will you attend Lunch on Wednesday? Will you attend the Social Reception on Wednesday?Will you attend Lunch on Thursday? Will you attend Lunch on Friday?
SPONSORSHIP OPPORTUNITIESSpecial sponsorship opportunities are available for exhibitors who want to enhance their
visibility and impact at the conference. Special recognition at the conference and listing in the conference program are included.
Information about Sponsorship Opportunities is available at: http://www.usg.edu/assets/facultydevelopment/documents/Sponsorship_Levels.pdf
Premier Partner ...........$ 5000 Premier .........................$ 3500 Platinum .......................$ 3000 Gold ..............................$ 2000 Silver .............................$ 1000 Bronze ............................ $ 500
name – please print or type
preferred first name for nametag date of birth (for transcript retrieval)
title/position company/organization
business mailing address ❏ or home address ❏
city state county, if Georgia zip
country and postal code (if outside the USA)
email home phone work phone fax number
THREE WAYS TO REGISTER:Fax: 706-542-6465 — Credit Card Only
Mail: University System of Georgia Teaching and Learning Conference Best Practices for Promoting Engaged Student Learning - #90533
The University of Georgia Center for Continuing Education & Hotel 1197 South Lumpkin Street, Athens, GA 30602-3603
Phone: 706-542-7493 — Credit Card Only (Mon.-Fri., 8:00 a.m. to 5:00 p.m. ET)
By registering for this event, I agree to comply with all event cancellation policies.
(1) A cancellation received by 5:00 p.m. ET on or before April 3, 2019 will be
refunded, minus a $35 processing fee. If your registration fee is less than $35, the
entire amount will be retained. (2) To change or cancel your registration, call
706-542-7493, Monday through Friday, 8:00 a.m. to 5:00 p.m. ET. (3) If an event is
cancelled for any reason, the University of Georgia Center for Continuing Education &
Hotel will not be responsible for any charges related to travel.
Method of payment to guarantee event registration❏ Enclosed is a check payable to The University of Georgia.
❏ By credit card:
❏ MasterCard ❏ Visa ❏ American Express ❏ Discover
Card No. _____________________________________Expires_____/_____
Name on card __________________________________________________
❏ Please bill my organization. A purchase order number must be included to bill all
non-UGA companies and organizations.
Billing Contact Person _____________________________________________ Phone No. _________________________________________________________ Email ________________________________________________________________ Company/Organization ______________________________________________ UGA Department/Division ___________________________________________ (if applicable)PO Number _________________________________________________________ Billing Address ______________________________________________________ City _________________________________________________________________
State/Zip
CONTACT INFORMATIONFor further information please contact Dr. Irene Kokkala by email at:
[email protected] or by phone at 707-864-1862.
• To ensure delivery of exhibitor materials to the University of Georgia Center for Continuing Education & Hotel you must utilize the appropriate Material and Handling Fees on the order form found at:https://webapps.georgiacenter.uga.edu/vendorShipping/?_ga=2.110160576.418497775.1534249795-1991486267.1486561924
• Outgoing packages are the responsibility of the Group.
• Packages and materials must be removed at the end of the event or Group may incur a
storage fee.
CONFERENCE WEBSITEFor additional information for exhibitors please visit the conference website at:
http://www.usg.edu/facultydevelopment/teaching_learning_conference/exhibitors
Please be advised, photos will be taken at this event. By registering you are granting the Board of Regents of the University System of Georgia and/or its representatives the right to publish the photos electronically and/or in print.
Exhibitor Attendee InformationCompany/Organization:_________________________________________________________Representative Attending: _____________________________________________________Address:______________________________________________________________________Telephone: ___________________________________________________________________Email:________________________________________________________________________
