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


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.

ATTENTION REGISTRANT'S 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)

    Step 1: Personal Information



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


    Step 2: Conference Registration



    STEP 3: COMMUNICATOR SPECIAL CONFERENCE EDITION

    STEP 4: AFFILIATE MEMBERSHIP

    Members of CMC are encouraged to become active members and participants in a local affiliate of CMC. Select one or more affiliates to become a member or to renew your membership. 


    Step 5: Luncheons

    The Friday Leadership Luncheon is provided with your registration for the Leadership Mini-Conference.

    The Saturday Affiliate Luncheon is open to all conference attendees. The cost is $25.00 per person. Enjoy lunch and meet other attendees from your local area. The Affiliate Luncheon is held in the Pasadena and Madera Ballrooms at the Renaissance Hotel.


    PAYMENT OPTIONS

    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)

PAYMENT BY CHECK
Make sure the name of the registrant appears on the check. You may also wish to submit a copy of your registration information form.
CMC-SOUTH • Attn: E. Dixon/J. Sydner-Gordon • 335 E. Albertoni Street #200-552 • Carson, CA 90746

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.

PAYMENT BY CREDIT CARD
Your payment will be processed through PayPal. You are not required to have a PayPal account.


Your registration is not complete until your payment is received. Proceed to the Payment section below. To expedite your registration process and avoid delays make sure your selections below match your selections from Registration Information (Part 1).

Leadership Mini-Conference Registration

$235.00
Add to Cart
The Registration Fee includes:
• Reservation for Leadership sessions on Friday, November 1
• Friday Leadership Luncheon
• Access to regular conference sessions on Saturday, November 2

CMC ComMuniCator Special Conference Edition

$5.00
Add to Cart
2013 Special Conference Collector Edition
Select this button if you checked the same box in the Registration Information section.

Affiliate Membership

$10.00
Add to Cart
Regional membership dues: Members of CMC are encouraged to become active members and participants in a
local affiliate of CMC. Select this button to become a member or to renew your membership with one of the following southern California affiliates (Los Angeles and San Diego appear in the next payment box):

Antelope Valley Mathematics Council
Imperial Valley Mathematics Council
San Gabriel Valley Mathematics Council
Riverside/San Bernardino counties Mathematics Council
Ventura County Mathematics Council
Orange County Mathematical Council
 


Affiliate Membership Greater Los Angeles Mathematics Council and Greater San Diego Mathematics Council

$15.00
Add to Cart
Members of CMC are encouraged to become active members and participants in a
local affiliate of CMC. Select this button to become a member or to renew your membership with either the Los Angeles or San Diego affiliates.

Greater San Diego Mathematics Council
Greater Los Angeles Mathematics Council 

Saturday Leadership Luncheon

$25.00
Add to Cart
Meet and network with other attendees from your local affiliate area.
Select this payment button if you wish to attend the Saturday Affiliate Luncheon
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