CONVENTION REGISTRATION
100 Bridges: Haiku North America 2007
Hawthorne Inn and Conference Center—Winston-Salem, NC
August 15-19, 2007
Please check yes below if you are a presenter
Presenter: _________Yes E-mail: ___________________________________
Home Mailing Address: ________________________________________________________________________________
_________________________________________________________________________
Daytime Phone: __________________________________ Evening Phone: _______________________________________
MAKE CHECKS PAYABLE TO “Haiku North America”
AND MAIL THIS FORM WITH CHECK TO:
Visit Winston-Salem Attn: Services Department
200 Brookstown Avenue - Winston-Salem NC 27101
EARLY REGISTRATION DEADLINE: July 16, 2007
REGULAR REGISTRATION DEADLINE: August 1, 2007
After August 1, 2007 you must register on-site by 9:00am on the day of the conference.
If you have questions about registration, please contact:
Kay Calzolari kcalzolari@wscvb.com or Jennifer Evans at jevans@wscvb.com
If you are paying by credit card, please complete the following information:
Card Number: __________________________________________________________
Print name as it appears on the card: _________________________________________
Signature: ______________________________________________________________
Full Conference Registration includes a BLUE conference badge that will enable you to attend all events at the conference; the HNA banquet on Saturday night; an HNA conference anthology; and a CD of the conference video (mailed to you after the conference).
Single-Day Registration includes a YELLOW conference badge that will enable you to attend that day’s events at the conference.
Early Registration: By July 16, 2007 |
$255.00 Full Conference Registration |
|
Single Day Thursday |
$100.00 |
|
Single Day Friday |
$100.00 |
|
Single Day Saturday |
$125.00 (Includes banquet) |
|
Regular Registration: By August 1, 2007 |
$295.00 Full Conference Registration |
|
Single Day Thursday |
$110.00 |
|
Single Day Friday |
$110.00 |
|
Single Day Saturday |
$130.00 (Includes banquet) |
|
HNA Conference Anthology |
$8.00 (One copy is included with Full Conference Registration. Otherwise each copy is $8.00.) |
|
Conference T-shirt with logo |
$15.00 per shirt Please indicate size M L XL |
|
Conference Tote Bag with Logo |
$12.00 |
|
Group Photo |
Cost to be determined. Please check the HNA Websitein June for details. |
|
Gift to HNA 2007 |
Please consider making an extra donation to Haiku North America. Your donation will be greatly appreciated and acknowledged in the conference program. |
|
Total |
$ |
Special Needs: Dietary ______ Mobility ________ Sight/Hearing _______
Please Note
You will receive an email acknowledging receipt of your registration request.
Receipts for payment will be placed in conference folders distributed on-site.
Cancellation prior to Wednesday, August 1, 2007 entitles the registrant to a half refund of registration fees.
We will be unable to make refunds for cancellations after Wednesday, August 1, 2007.
REQUEST FOR CANCELLATION MUST BE RECEIVED IN WRITING.