Leadership Strand Registration 2013
California Mathematics Council-South Mini-Conference
Friday, November 1, 2013


MINI-CONFERENCE REGISTRATION FEE
The registration fee of $235 includes:
- Reserved place in the mini-conference sessions
- Friday Leadership Lunch
- Full access to both days of the CMC-South Conferenc

PAYMENT OPTIONS
- Credit Card (processed through PayPal)
- Check (include your name on the check)
- Purchase Order (you must provide a P.O. Number and all contact information)

If you plan to use a Purchase Order make sure you have the following information ready before you start registration:
PO#, contact name, phone, and email address before you start registration.
If it is not available, use your Administrator's name and email as the contact info


Complete fully the Registration Information Form. 
Submit payment as directed.
Credit Card • Check • Purchase Order

The Registration Information Form is in the left-hand column. Additional notes and answers to possible questions are provided in the right-hand column.
AFTER YOU COMPLETE AND SUBMIT THE FORM, RETURN TO THE BOTTOM OF THE PAGE FOR PAYMENT DIRECTIONS.

    Step 1: Personal Information


    Provide at least one phone number where we can reach you (if needed):

    Step 2: Payment Options
    Choose your method and then carefully follow the directions below:
    INSTRUCTIONS FOR CREDIT CARD PAYMENT:
    If your method of payment is by Credit Card then enter below the full name on the credit card. Then print a copy of your registration form before selecting the "Submit" button below.

    INSTRUCTIONS FOR CHECK PAYMENT:
    If your method of payment is by Check then you may skip the next section, print a copy of your registration form befoe selecting the "Submit" button below.


    INSTRUCTIONS FOR PURCHASE ORDER PAYMENT:
    If your payment method is by Purchase Order, then we will need additional information from you to eliminate or reduce delays to your conference registration. Complete the following:


    BEFORE YOU SELECT SUBMIT...
    • Your registration is recorded as soon as you select "Submit." Changes to submitted registrations will have to be made by contacting the registrars directly and could delay your registration.
    • It is recommended you print copies of your completed registration forms and all confirmations.

    PRINT A COPY OF YOUR REGISTRATION INFORMATION 
    FOR YOUR RECORDS.
    Select the "Submit" button to complete your registration. 
    Then follow the directions for payment.


ADDITIONAL REGISTRATION NOTES 

All sections with an asterisk (*) are required.  

Complete all fields, if possible, for a smoother registration process.











All communication regarding registration will be sent to the registrant's primary email address. 

REGISTRATION MATERIALS WILL NOT BE SENT BY MAIL. INSTEAD, YOU WILL RECEIVE AN EMAIL TWO WEEKS BEFORE THE CONFERENCE WITH ADDITIONAL INSTRUCTIONS.

You will be able to pick up your registration badge and conference materials in the Santa Rosa room at the Renaissance Palm Springs Hotel.

Friday, November 1, 2013
7:30 a.m. - 1:00 p.m.



































Work Site Name (School, District, Business)

Examples:
Montclair HS
Pomona USD
Riverside COE
Texas Instruments

This is also how it will appear on your name badge.













PAYMENT OPTIONS

CREDIT CARD
Credit card payments are processed through PayPal. You are not required to have an account with PayPal. Receipt of credit card payment will be sent by PayPal.

CHECK PAYMENT
You will be mailing your payment to the address below. Note, to receive the full discount for early registration your check must be received by October 1, 2013. Allow extra time for USPS delivery or choose the credit card payment option.

PURCHASE ORDER
Make sure you include all of the requested information so your registration is not delayed. All purchase orders must be mailed or faxed. Delays in the receiving of purchase order payments will nullify any early registration discounts. (The school or district will be charged the regular registration fee of $195.00.)


PAYMENT DIRECTIONS

CHECK PAYMENT
• Make sure the amount on the check is $235.
• The name of the person registering must appear within the address section of the check and/or on the Memo line of the check. Print clearly.
• Submit a printed copy of your registration form and/or your registration confirmation with you payment.
• Mail your payment and sufficient registration information to:



PURCHASE ORDER
• Many purchase orders are submitted with payment for several persons. Make sure that YOUR NAME appears on the original Purchase Order. 
• Purchase Order payments can be  mailed or faxed to:





CREDIT CARD
• Select the "Buy Now" button.
• Enter your total payment and your credit card information (steps described below). PayPal account not required. Proceed as a "guest."
• You will receive confirmation from PayPal.

The amount is left blank. 
Enter your total credit card payment and select "Update."
The total should now reflect your total payment.
Use your PayPal account or select "Don't Have a PayPal Account?" You will enter your credit card information but you do not have to begin an account.
Select your credit card and enter the required information to complete your registration payment.