CEI Fall Conference 2006 Registration Form

CEI Fall Conference 2006 Registration Form
October 8-9, 2006
Koury Convention Center
Greensboro, NC
Four Seasons Hotel Reservations Available July 26
Toll Free: (800) 242-6556
Local: (336) 292-9161

Name:	_____________________________________________
College:	_____________________________________________
Address to receive registraton confirmation:	_____________________________________________
Phone:	_____________________________________________
E-mail:	_____________________________________________
Status:	Full Time ______ Part Time ______
CEI Member?	Yes ______ No ______
I plan to join or renew now for $15.00 ______. Note: Membership is renewable each year at the time of the fall conference. Adjunct faculty pay no dues.

CONFERENCE FEES
Member Registration:	_____ $40.00 (includes Sunday lunch)
Non-member Registration:	_____ $50.00 (includes Sunday lunch)
Monday Luncheon:	_____ $25.00
Member dues:	_____ $15.00
TOTAL ENCLOSED:	______
Please indicate:	______ Special Diet ______Vegetarian

CONFERENCE RESERVATION

Return this registration form and your check for conference fees only made out to CEI by September 15 to
Barbara Rusher
Interim CEI Secretary/Treasurer
Central Carolina Community College
1105 Kelly Drive
Sanford, NC 27330
(919) 718-7243
brusher@cccc.edu

Please Note: No refunds after September 29, 2006.