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2019 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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| Participant's 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 8, 2019 5:00 pm to 6:30 pm and Monday, September 9, 2019 at 8:00 am
The conference sessions starts Monday, September 9, 2019. |
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, 2019 | $695* | $50 | $645* |
Full Conference After August 15, 2019 | $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 - A Journey with
Joshua Perry
Event Ticket Only | $45 | No - Discount | $45 |
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?
Name on certificate:
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| A Journey with Joshua Perry Event: Monday evening, September 9, 2019 |
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| One A Journey with Joshua Perry ticket is included with each paid full conference registration. There is no cost savings if you do not attend.
Do you plan to attend A Journey with Joshua Perry Event Monday Sept. 9, 2019? |
Purchase additional
A Journey with Joshua Perry Event Tickets: | I wish to purchase a ticket or register one or more guests for the A Journey with Joshua Perry Event Monday, September 9, 2019.
Indicate Quantity:
x$45 per ticket
A Journey with Joshua Perry Event Guest Names:
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| TPE Awards Banquet Luncheon: Tuesday - noon, September 10, 2019 |
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| 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 lauren.browning@thepartnershipforexcellence.org.
Cancellations made on August 14, 2019 through August 31, 2019 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 (901) 830-4499 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 901-830-4499 or e-mail: lauren.browning@thepartnershipforexcellence.org |