ISTE 2018 registration formMcCormick Place West Building • Chicago, IllinoisJune 24–27, 2018

First name Last name

Job title

School/organization/company

Address (home/work—circle which)

City State/province ZIP/postal code Country (if not U.S.)

Mobile phone

Work phone Home phone

Email address

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

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ISTE 2018 registration timeline• Super early bird through March 1• Early bird through May 1• Mail registration by June 8• Fax registration through June 20• Onsite registration June 23–27

Conference cancellationsAccepted in writing through June 15.A $145 fee will apply. One-day registration cancellations subject to $65 fee.

Registration informationFax: 1.541.346.3545Mail: ISTE 20181277 University of OregonEugene, OR 97403-1277

Membership questions503.342.2848 (press 2) or800.336.5191 (press 2)iste@iste.org

Attendee information

DemographicsPrimary job function (choose one):

Administrative assistant or business office Adult education Assistant, associate or vice principal Assistant/deputy superintendent CIO CTO Consultant/trainer Curriculum coordinator/specialist Curriculum/instructional/assessment director Department head/chair Federal programs Industry representative Instructional designer Instructional technology coach/director

Librarian/media specialist Principal/head master Retired Staff developer (K-12) Student/preservice Superintendent Teacher/faculty (PK-12) Teacher/faculty (Higher ed school of ed) Teacher/faculty (Higher ed non school of ed) Technology coordinator/facilitator/specialist Technology director Not applicable Other: __________________________

Other

I will need accommodations for an ADA disability.

Please explain ____________________________________________________________

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Attendee name: ________________________________________________________________________________________________________

Office use (web download)

Registration optionsBasic registration• Four full days brimming with interactive, inspirational and highly relevant professional learning opportunities.• Three powerful general sessions with a multitude of keynote speakers on big ideas from the field of education and

beyond.• Your choice of hundreds of sessions in a variety of formats, including lectures, BYODs and hands-on learning

environments.• Access to a massive Expo Hall featuring the latest edtech products and services from more than 500 companies

and 1,400 industry reps.• Unlimited networking opportunities with nearly 22,000 educators, education leaders and corporate representatives

from around the world.• One-year basic membership to ISTE (when you pay the nonmember rate).

New! Premium registration• All the benefits of basic registration.• Unlimited preconference access to two days of immersive hands-on workshops and topical learning academies on

Saturday, June 23 and Sunday, June 24.• A $500 value for only $150! Super early bird Early bird Pre-reg/onsite Through March 1 Through May 1 After May 1 Basic Premium Basic Premium Basic Premium

ISTE member (loyalty rate)* . . . . . . . . . . . . . . . . $395 . . . . $545 . . . . . .$440 . . . . .$590 . . . .$480 . . . . . .$630 $________ Member number: ______________________ Expiration date: _______________

ISTE member (less than one year)** . . . . . . . . . . . $425 . . . . $575 . . . . . .$470 . . . . .$620 . . . .$510 . . . . . .$660 $________ Member number: ______________________ Expiration date: _______________

Nonmember . . . . . . . . . . . . . . . . . . . . . . . . . . $550 . . . . .$700 . . . . . .$595 . . . . .$745 . . . .$635 . . . . . .$785 $________ (includes ISTE membership)

Nonmember . . . . . . . . . . . . . . . . . . . . . . . . . . $550 . . . . .$700 . . . . . .$595 . . . . .$745 . . . .$635 . . . . . .$785 $________ (declining ISTE membership)

Group of 10 or more ISTE members** . . . . . . $425 . . . . .$575 . . . . . .$425 . . . . .$575 . . . .$425 . . . . . .$575 $________ Member number: ______________________ Expiration date: _______________ Group leader name: _______________________________________________

Group of 10 or more nonmembers . . . . . . . . . $550 . . . . .$700 . . . . . .$550 . . . .$700 . . . .$550 . . . . . .$700 $________ (includes ISTE membership) Group leader name: _______________________________________________

Presenter and ISTE member*. . . . . . . . . . . . . $325 . . . . .$475 . . . . . .$325 . . . . .$475 . . . .$325 . . . . . .$475 $________ Member number: ______________________ Expiration date: _______________

Presenter (non-member) . . . . . . . . . . . . . . . . $450 . . . . .$600 . . . . . .$450 . . . . .$600 . . . .$450 . . . . . .$600 $________

Full-time student . . . . . . . . . . . . . . . . . . . . . . . $200 . . . . .$350 . . . . . .$200 . . . . .$350 . . . .$200 . . . . . .$350 $________ Member number: ______________________ Expiration date: _______________

Full-time student . . . . . . . . . . . . . . . . . . . . . . . $325 . . . . .$475 . . . . . .$325 . . . . .$475 . . . .$325 . . . . . .$475 $________ (includes ISTE membership)

Full-time student . . . . . . . . . . . . . . . . . . . . . . . $325 . . . . .$475 . . . . . .$325 . . . . .$475 . . . .$325 . . . . . .$475 $________ (declining ISTE membership)

One-day registration . . . . . . . . . . . . . . . . . . . . $220 . . . . . . . . . . . . . . .$250 . . . . . . . . . . . . .$275 . . . . . . . . . . $________ Conference day: Sunday Monday Tuesday Wednesday

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Attendee name: ______________________________________________________________________________________________________________

A check or purchase order must accompany this form in order for the registration to be processed. ISTE is unable to accept purchase orders as a form of payment from those residing outside of the United States and Canada.

Pay by check (make payable to ISTE)

Pay by purchase order:

P.O. number

Billing contact name

Phone

Company name

Email

Billing address

City/state/province

ZIP/postal code Country (if not U.S.)

Payment information

Total fees $ _________

List the affiliate(s) you are a member of:

________________________________

________________________________

________________________________

Your membership must be current through June 27, 2018.

ISTE affiliate**ISTE member rate (less than one year)

*ISTE member rate (loyalty rate)

If you’ve been an ISTE member for the past 12 months or more at the time of registration, you qualify for a discount of $30.