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2018 Quest for Success - The Ohio State University Fawcett Center
On-Line Registration - Please register for the conference by completing the following
* denotes required field |
First Name*: |
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Last Name*: |
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Preferred Badge Name*: |
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Company Name*: |
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Job Title: |
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Street Address*: |
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City*: |
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State*: |
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Zip*: |
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Phone*: |
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Participants e-mail*: |
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Other e-mail |
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Fax: |
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TPE CONFERENCE REGISTRATION: |
On Site Registration Desk Opens Sunday September 9, 2018 5:00 pm to 6:30 pm and Monday, September 10, 2018 at 8:00 am
The conference sessions starts Monday, September 10, 2018. |
I'm registering as:
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| Applicable Fees:
Registered & PAID By Date: | Applicable
Fees | Discount | Total including Discount |
Early Conference Through August 15, 2018 | $695* | $50 | $645* |
Full Conference After August 15, 2018 | $695* | No - Discount | $695* |
Standard Rate - Monday Only (includes all meals) | $445 | No - Discount | $445 |
Standard rate - Tuesday Only (includes all meals) | $415 | No - Discount | $415 |
Standard Rate - 20th Anniversary Celebration Event Ticket Only | $60 | No - Discount | $60 |
Standard Rate - Awards Banquet Luncheon Ticket Only | $65 | No - Discount | $65 |
* Full conference fee includes 1 year free membership in TPE |
Certificate Required? - Full Conference Only |
Do you require a certificate of completion?
e Name on certificate:
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TPE 20th Anniversary Celebration Event: Monday evening, September 10, 2018 |
| Do you plan to attend the TPE 20th Anniversary Celebration Event Monday Sept. 10, 2018?
One TPE 20th Anniversary Celebration Event ticket is included with each paid full conference registration. There is no cost savings if you do not attend. |
Purchase additional
TPE 20th Anniversary Celebration Event Tickets: | I wish to purchse a ticket or register one or more guests for the TPE 20th Anniversary Celebration Event Monday, September 10, 2018
Indicate Quantity:
x $60 per ticket (Early) $65 per ticket (Stadard)
20th Anniversary Event Guest Names:
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TPE Awards Banquet Luncheon: Tuesday - noon, September 11, 2018 |
| 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 Additional Awards Banquet Luncheon Tickets: | Applicable Fees - $65 - Price per additional ticket
Indicate Quantity:
x $65 per ticket
Luncheon Guest Names:
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Other Registration Items: |
Do you have Special Needs that require our attention?
| Describe Below:
Food Restrictions /needs:
Other Special Needs:
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Sector Selection: |
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Coupon Code |
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Membership or Sponsorship | If your organization is a Member Organization or Sponsor, Please select your category below:
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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 tiffany@partnershipohio.org or fax your cancellation to 614-515-4771.
Cancellations made on August 14, 2018 through August 31, 2018 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.
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: tiffany@partnershipohio.org |