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Audio version

NAFSA 2017 ANNUAL CONFERENCE & EXPO REGISTRATION FORM

NAFSA ID NUMBER

 

CONFERENCE REGISTRATION

A NAFSA ID Number is required for all registrants. If you do not have a NAFSA ID number, visit www.nafsa.org/mynafsa to create a profile. If you have forgotten your NAFSA ID number, visit visit www.nafsa.org/mynafsa to log in and view your ID number on your My NAFSA page. Not including a NAFSA ID# on this form will delay your registration.

PERSONAL INFORMATION

Please type or print your name as you want it to appear on your badge.

_________________________ _________________________

First Name Last/Family Name

_________________________ _________________________

Job Title Institution/Organization

__________________________________________________

Mailing Address

__________ __________ __________ __________

City State Zip/Postal Code Country

_________________________ _________________________

Daytime Telephone Number with Area Code Fax Number

_________________________ _________________________

E-mail (must be unique for the registrant)

__________________________________________________

Emergency Contact Name and Telephone Number with Country and City Codes*

__________________________________________________

Please specify accessible services you require

THREE WAYS TO REGISTER

ONLINE: www.nafsa.org/losangeles (credit card payments and international wire transfers only)

__________________________________________________

FAX: +1 888-772-1888

__________________________________________________

MAIL: Return completed registration form and payment to:

NAFSA 2017 c/o Experient
5202 Presidents Court, Suite G100
Frederick, MD 21703 • USA

NAFSA MEMBERSHIP

Join now and pay the member registration rate!

MEMBERSHIP TYPE

RATE

AMOUNT

Individual Membership

$459

$

For individual membership please identify your workplace:

• An Academic Institution

• An International Education Organization

• Other

Student Membership

$153

$

Retiree Membership

$153

$

Initial Processing Fee

$20

$ 20.00

Overseas Mailing Fee

$70

$

A. MEMBERSHIP SUBTOTAL ▸

$

PLEASE CHECK ONE*:

  • Education Abroad
  • International Education Leadership

Is this your first NAFSA annual conference.*

  • Yes
  • No
  • International Enrollment Management
  • International Student and Scholar Services
  • Teaching, Learning, and Scholarship

Are you a student?*

  • Yes
  • No

TERMS AND CONDITIONS

By registering for this event, annual conference attendees agree to the collection of contact and demographic information. This includes any information unique to the attendee that’s available in the individual’s NAFSA profile. NAFSA will share limited information (name, title, organization, state and country only) in the official attendee list, but will not share contact information without further consent.

NAFSA will build a photo and video library of the NAFSA 2017 Annual Conference & Expo. By attending, you grant consent for NAFSA to use any photographs and /or video produced that may include you individually or in groups. This includes use in print, online and all forms of electronic media both for reproduction and promotional use. In the event that we film and record your words, NAFSA will seek your express permission.

Conference credentials remain the property of NAFSA and may be revoked by NAFSA in its sole discretion if the credentials are deemed to be used fraudulently or if the holder is believed to be in violation of professional, responsible, and safe conduct as deemed by the NAFSA’s management team.

eventBit will be used at this show to better understand your behaviors and needs. If you don’t want to participate, please go to registration upon arrival at the Los Angeles Convention Center and have your record updated.

I have read the Terms and Conditions of registration.*

*Indicates required information. Not providing will delay registration.

 

REGISTRATION FEES

EARLY BIRD
(by April 14)

REGULAR/ON SITE
(after April 14)

DAY
RATE

DAY ATTENDING

SUBTOTAL AMOUNT

Tue

Wed

Thr

Fri

• Member

$629

$739

$370

$

• Non-member

$899

$1059

$530

$

• Associate Member (includes nonmember, student, lifepartner)

$363

$425

$212

$

EVENTS INCLUDED IN REGISTRATION

Please check that you will attend the events below to receive tickets.

  • Knowledge Community Networking Receptions
    Monday, May 29: 5:30 p.m. – 7:30 p.m.
  • Opening Celebration
    Tuesday, May 30: 5:30 p.m.-7:30 p.m.
  • Closing Celebration: Welcome to NAFSA 2018 Philadelphia
    Friday, June 2: 4:30 p.m. – 5:30 p.m.

To sign up for special events not included in your conference registration or to purchase guest tickets, please complete the Additional Special Events section on page 20c of this registration form. There are no guest tickets available for Monday’s Networking Receptions.

REGISTRATION TOTAL

A. MEMBERSHIP SUBTOTAL page 20a

$

B. CONFERENCE REGISTRATION SUBTOTAL page 20a

$

C. PRECONFERENCE WORKSHOP SUBTOTAL page 20b

$

D. SPECIAL EVENTS SUBTOTAL page 20c

$

E. NAFSA SIGNATURE PROGRAMS SUBTOTAL page 20c

$

F. PARTNER EVENTS SUBTOTAL page 20c

$

REGISTRATION TOTAL ▸

$

REGISTRATION QUESTIONS? E-mail nafsa@experient-inc.com or call +1.240.439.2960. 20a