<p> NASPAA’s 2017 Annual Conference will be held in Washington, DC, from October 11 - 13 with local excursions on October 14. Please make your hotel reservations on your own; details are available at http://www.naspaa.org/AnnualConference/hotel.asp.</p><p>Registration by mail with payment must be received at NASPAA D.C. office no later than 09/27/17. After 9/27/17, registrations will only be accepted online or on-site with late fee.</p><p>University/Company Information</p><p>University: School: Department: Address: </p><p>City: State/Province: ZIP Code: Country: Attendee Information</p><p>First Name: Last Name: Job Title: First name (given name) for your name badge: Email Address: Phone: A. Is this the first NASPAA conference you are attending? </p><p>___ Yes ____ No</p><p>B. Would you like to include your contact information in NASPAA conference mobile app?</p><p>___ Yes ____ No</p><p>C. Please let us know if you have any specific dietary needs or accessibility needs:</p><p>D. OPTIONAL --- This year in an effort to better facilitate networking, we are asking what specific topics you want to discuss and/or what topics you would be willing to talk to others about. We will then try to put you in touch with people based on your answers.</p><p>What specific topics do you feel comfortable talking about or sharing what your institution has done?</p><p>Pre and Post Conference Activities</p><p>A. WEDNESDAY, 10/11, ACTIVITIES: The Accreditation Institute now occurs in a single day and ends with an evening reception. </p><p>__ Accreditation Institute (8am – 4pm with lunch) _</p><p>__ Doctoral Education Workshop (10am – 4pm with lunch) _</p><p>__ New Directors Roundtable (10am – 11:30am) _</p><p>__ Creating Dynamic Video Lectures Using Simple Free Tools (1 – 3pm) _</p><p>__ NASPAA NEXT: A Leadership Development Institute (1 –5 pm) (Invitation Only) _ __ NOT attending any pre- conference activities on Wednesday _</p><p>B. SATURDAY ACTIVITIES 10/14: </p><p>Would you like to hear more about Post-conference activities in Washington DC organized by local schools on Saturday?</p><p>___ Yes, please email me more details on Saturday Activities. ____ No There are a limited number of tickets to visit the new Smithsonian National Museum of African American History and Culture that will be given out in a lottery in August.</p><p>___ Yes, please enter me in the lotto for NMAAHC tickets on Saturday. _____ No</p><p>Registration Member refers to those who are affiliated with a NASPAA member school (including Associate members). Early-Bird Regular Registration Fees until 9/6 9/7-9/27 ___ Member (full access) $390.00 $415.00</p><p>___ Non-member (full access) $410.00 $435.00</p><p>___ COPRA (full access) $120.00 $145.00</p><p>___ Student (full access) $120.00 $145.00</p><p>___ One-day Wednesday (OR Accreditation Institute) $210.00 $235.00</p><p>___One-day Thursday $210.00 $235.00</p><p>___One-day Friday $210.00 $235.00 ___Member Guest/Spouse/Partner $210.00 $235.00 (cannot be a NASPAA member, full access) PROMO CODE: </p><p>LUNCHEONS: If you are attending the conference on both Thursday and Friday, please make sure to purchase lunch for both days.</p><p>THURSDAY 10/12 lunch ($40.00) ____Regular meal ____Vegetarian meal</p><p>FRIDAY 10/13 lunch ($40.00) ____Regular meal ____Vegetarian meal</p><p>EVENING RECEPTIONS: Join us for evening receptions to network with NASPAA staff and your colleagues. Reception included with registration fee.</p><p>___ Yes, I will attend Wednesday Evening Welcome Reception ___ Yes, I will attend Thursday Evening Reception, sponsored by Carnegie Mellon University</p><p>___ Yes, I will attend Friday Evening Platinum Sponsor Reception</p><p>PAYMENT: TOTAL AMOUNT: $______</p><p>Paying by check, please make payable to NASPAA. For credit card payment, please fill out the information below. We only accept Visa or MasterCard. </p><p>Card Number:</p><p>Exp. date:</p><p>Name on card:</p><p>Signature:</p><p>Update: 7/7/2017</p>