|2017 Quest for Success - The Ohio State University Fawcett Center|
On-Line Examiner Registration - Please register for the conference by completing the following
* denotes required field
|Preferred Badge Name*:||
|Company Name*: ||
|TPE CONFERENCE REGISTRATION:|
|On Site Registration Desk Opens Sunday September 10, 2017 5:00 pm to 6:30 pm and Monday, September11, 2017 at 8:00 am|
The conference sessions starts Monday, September 11, 2017.
|I'm registering as: |
| Registered & PAID By Date:|
Total including Discount
Early Conference Through August 15, 2017
$50 + $75 Examiner Discount
Full Conference After August 15, 2017
$75 Examiner Discount
Monday Only (includes all meals)
Tuesday Only (includes all meals)
$50 Examiner Discount
TPE Tailgating with Technology Event Ticket Only
$5 Examiner Discount
Awards Banquet Luncheon
$5 Examiner Discount
|Certificate Required? - Full Conference Only |
|Do you require a certificate of completion?
e NName on certificate:
|TPE Tailgating with Technology Event: Monday evening, September 11, 2017|
||Do you plan to attend theTPE Tailgating with Technology Event Monday Sept. 11, 2017?|
One TPE Tailgating with Technology Event ticket is included with each paid full conference registration. There is no cost savings if you do not attend..
|Purchase a / or additional|
TPE Tailgating with Technology Event Tickets:
| I wish to purchase a ticket or register one or more guests for the Tailgating with Technology Event Monday, September 11, 2017.|
x $55 per ticket Tailgating Guest Names:
|TPE Awards Banquet Luncheon: Tuesday - noon, September 12, 2017|
||Do you plan to attend the TPE Awards Banquet Luncheon?|
One Awards Banquet Luncheon ticket is included with each paid full conference registration. There is no cost savings if you do not attend.
|Purchase a /or Additional|
Awards Banquet Luncheon Tickets:
|Applicable Fees - $60 - Price per additional ticket|
x $60 per ticket
Luncheon Guest Names:
|Other Registration Items:|
|Do you have Special Needs that require our attention?|
Food Restrictions /needs:
Other Special Needs:
|Membership or Sponsorship||If your organization is a Member Organization or Sponsor, Please select your category below:|
| Payment: |
|You will receive an emailed invoice from TPE within 1-3 business days following submission of this registration form. You will have the option of payment by check or credit card online.|
|CANCELLATION / SUBSTITUTION POLICY: Cancellation to your registration should be made in writing. Please e-mail firstname.lastname@example.org or fax your cancellation to 614-515-4771.|
Cancellations made on August 14, 2017 through August 31, 2017 will be subject to a $100 administration fee. Registrations that are not cancelled before August 31st and no shows will not be refunded or credited.
Substitutions may be made by calling (614) 893-0006 and providing the substitute's name.
By clicking the Submit Registration Button: I certify that I was an Examiner in the TPE 2016 - 2017 award process and the examiner discount applies to my conference registration.
I also acknowledge that I have read, understand, and agree to be bound by this substitution / cancellation policy.
PLEASE PRINT THIS FORM FOR YOUR RECORDS
TPE Fed ID 34-82492
Questions? Call 614-893-0006 or e-mail: email@example.com