Leadership Registration
California Mathematics Council South
Friday, November 1, 2013
Palm Springs Convention Center • Renaissance Hotel Palm Springs


Welcome to the Registration Page for the 2013 CMC-South Annual Mathematics Leadership Mini-Conference.

LEADERSHIP MINI-CONFERENCE REGISTRATION
The registration fee is $235 and includes:
• A reservation for the Leadership sessions on Friday (see program for description)
• Leadership Luncheon on Friday with Jo Boaler from Stanford University
• Access to all of the regular conference sessions on Saturday



If you encounter any difficulties using this form or if you have any questions, please contact the registration Co-Chairs:
E-MAIL
Emily Dixon                   cmc53ps.reg@gmail.com
Judi Sydner-Gordon     jsg.ps2013reg@gmail.com
PHONE:
310-412-2441
310-251-4231
CMC-SOUTH REGISTRATION
Attn: E. Dixon/J. Sydner-Gordon
335 E. Albertoni Street #200-552
Carson, CA 90746


The registration process has two parts:
INFORMATION: Complete the information part and then SUBMIT. You should receive immediate confirmation.
PAYMENT: Your registration is not complete until payment is received. Directions for payment are at the bottom of this page.

VERY IMPORTANT: ATTENTION REGISTRANTS USING A PURCHASE ORDER:
Before you begin the registration process you will need to provide additional information regarding the purchase order:
• P.O. Number • Name of the contact person for purchase orders at your site or district • Contact person's e-mail • Contact person's work phone
If you do not know the name of the purchase order contact person then provide the name and contact information for your principal or supervisor.


Registration Information (Part 1)


    Please provide at least one phone number where we can reach you if needed. 


    PAYMENT OPTIONS

    SELECT ONE OF THE THREE PAYMENT CHOICES:


    MAIL-IN PAYMENT WITH CHECK
    The check must contain the name of the person registering.
    CREDIT CARD
    Credit card payments are processed through PayPal. You are not required to have a PayPal account. Complete the form as a guest.
    PURCHASE ORDERS
    Complete the additional information requested below. You will need to provide the P.O. Number, the name of the contact person for purchase orders, the contact person's e-mail address and the contact person's work phone. If you do not know the name of the person in charge of purchase orders then submit the name and contact information for your principal or supervisor.

    PURCHASE ORDER INFORMATION
    The following information is requested for purchase order payments. If you are not paying by purchase order you may skip these next questions and proceed to the Submit section that follows.

    SUBMIT TO COMPLETE REGISTRATION INFORMATION (PART 1)

    Before you "Submit" your registration information you should print a copy for your records. You will not be able to make corrections to this form after the information is submitted. You will have to contact the Registrar directly to make any corrections.

    After you submit your Registration Information (Part 1) you will then proceed to Payment (Part 2). Your registration is not complete until payment is received.


Payment Information (Part 2)

REGISTRATION MATERIALS WILL NOT BE MAILED. YOU WILL PICK UP YOUR MATERIALS AND BADGEHOLDER AT THE CONFERENCE. 


YOUR REGISTRATION IS NOT COMPLETE UNTIL YOUR PAYMENT IS RECEIVED. SELECT THE BUTTON FOR YOUR PAYMENT METHOD.

PAYMENT BY CHECK
Make sure the name of the registrant appears on the check. The amount is $235 and payable to CMC-South or California Mathematics Council South. 
You may also wish to submit a copy of your registration information form. Mail to:
CMC-SOUTH • Attn: E. Dixon/J. Sydner-Gordon • 335 E. Albertoni Street #200-552 • Carson, CA 90746
YOUR REGISTRATION IS COMPLETE WHEN WE RECEIVE YOUR CHECK.

PAYMENT BY PURCHASE ORDER
Make sure the name(s) of registrant(s) appear with the purchase order. Make sure that you have provided the P.O. Number, the name of the purchase order contact person, the contact person's e-mail and the contact person's work phone. Your school or district will receive an Invoice from CMC-South.
YOUR REGISTRATION IS COMPLETE WHEN YOUR DISTRICT RESPONDS TO THE INVOICE WITH PAYMENT.

PAYMENT BY CREDIT CARD
Your payment will be processed through PayPal. You are not required to have a PayPal account. Select "Add to Cart" below and follow the directions. 
YOUR REGISTRATION IS COMPLETE WHEN YOU COMPLETE THE STEPS BELOW.

Pay by Check
Pay Using a Purchase Order
You must have a P.O. Number
Pay Using a Major Credit Card
Processed Through PayPal
(PayPal account not required)

Leadership Mini-Conference Registration Credit Card Payment

$235.00
Add to Cart
SELECT "ADD TO CART"  ONLY IF YOU ARE PAYING BY CREDIT CARD.
The Registration Fee includes:
• Reservation for Leadership sessions on Friday, November 1
• Friday Leadership Luncheon
• Access to regular conference sessions on Saturday, November 2





If you encounter any difficulties using this form or if you have any questions, please contact the registration Co-Chairs:
E-MAIL
Emily Dixon                   cmc53ps.reg@gmail.com
Judi Sydner-Gordon     jsg.ps2013reg@gmail.com
PHONE:
310-412-2441
310-251-4231
CMC-SOUTH REGISTRATION
Attn: E. Dixon/J. Sydner-Gordon
335 E. Albertoni Street #200-552
Carson, CA 90746