REGISTRATION FORM
IAAP SUMMIT 2015
Registering for IAAP Summit 2015 is easy.
Just follow this step-by-step guide.
Step 1.
You will need to submit your IAAP Summit 2015 registration and fees before making your hotel
reservations.
Step 2.
Provide us your name, address, contact information and some easy demographic information,
designed to help us make your IAAP Summit 2015 experience exceptional.
Step 3.
Decide if you’re registering for a full conference package (Part A) or a day-by-day package (Part B).
If you are registering for a day-by-day package, refer to Part B of the form only.
Step 4.
If you register for the Premium meeting package select your preferred schedule for Saturday, July 25.
Step 5.
If you register for the Premium meeting package, please select your preferred Morning Marketplace
Premium Session: Monday, July 27 or Tuesday, July 28. Standard meeting package registrants will
have the opportunity to visit the Marketplace, Monday, July 27 in the afternoon only.
Step 6.
Support The Foundation of IAAP by attending their Celebration on Tuesday, July 28, 5:30 - 7:00 p.m.
Select this optional event on Part C of the form.
Step 7.
If you are taking advantage of the Premium package, one ticket to the Closing Celebration: Dinner &
Party is automatically included with your conference package. If you are bringing a guest, and are
purchasing the Premium package, you will need to purchase an additional ticket (Part C). Closing
Celebration: Dinner & Party tickets are not available if purchasing the Standard package or the dayby-day package.
Step 8.
All education sessions will be open seating on a first-come, first-served basis. Education sessions are
being provided in tracks. Attendees can stay within one track or take classes in a variety of tracks.
Additionally, the Snacks & Facts sessions will be by sponsor invitation only; determined at a later date.
Step 9.
Submit payment information.
Step 10. Start planning your trip to IAAP Summit 2015! Connect with other attendees in the IAAP Web
Community. You can also review the education session descriptions and book your airfare.
Go to www.iaap-summit.org for more information.
Step 11. Book your Louisville hotel reservation after receiving your IAAP Summit 2015 registration confirmation.
The confirmation will include a lodging code to make your reservations at an official IAAP Summit
2015 host hotel. You will not receive the IAAP discounted hotel rate without using that lodging code.
Questions? Please contact us at:
Ph: 816.891.6600; Email: [email protected]
REGISTRATION FORM
IAAP Summit 2015
Complete one form per registrant. Registration will not be processed without full payment in U.S. dollars.
Send all mail to: q Home
q Office
Send all email to:
q Home
q Office
q IAAP Member/ID Number______________________________________________________________
q Nonmember
_________________________________________________________________________________________
Home Address
_______________________________________________________________________________________
Job Title
________________________________________________ ________________
City
State/Prov
_______________________________________________________________________________________
Company Name
_________________________________________________________________________________________
Country if not U.S.
_______________________________________________________________________________________
Work Address/PO Box
_________________________________________________________________________________________
Home Email
_____________________________________
City
_________________________________________________________________________________________
Business Email
__________________________ ____________________
State/Prov
ZIP/PC
________________________________________________
Business Phone
_____________________________________
Country if not U.S.
_______________________________________
Gender optional
________________________________________________
Home Phone
_____________________________________
Fax
q I DO NOT want my contact info shared with sponsors.
_____________________
ZIP/PC
________________________________________________
Birth Date (mm/dd/yy) optional
q Don’t include my email address in the conference registrant listing.
q I prefer vegetarian meals.
q I prefer vegan meals.
q I prefer gluten-free meals.
q I am allergic to seafood.
q I have the following additional dietary restrictions: ______________________________________________________________________________________________________________________________________
Note: If dietary restrictions are not stated here, we cannot guarantee changes on-site.
q I have special needs and may require accommodations to fully participate (IAAP will contact you).
q Audio
q Mobile
q Visual
q Other___________________________________________________________________________________________________________________
A. Meeting Packages
Premium: Includes Pre-Conference Workshops, First-Timer Orientation
(if a first-time attendee), Bootcamp, General Sessions and Keynotes, Town
Hall Business Session, Education Sessions, Marketplace Morning Premium
Sessions, Networking Lunch, Snacks & Facts (by Sponsor invitation), and the
Closing Celebration: Dinner & Party.
Standard: Does NOT include Pre-Conference Workshops, Bootcamp,
Networking Lunch, or the Closing Celebration: Dinner & Party.
Member
Nonmember
Premium package
Member
Nonmember
Standard package
Early bird
$900
$1,200
$700
$1,000
Regular
$1,000
$1,300
$800
$1,100
Ends 5/22/15
Pre-Conference Workshops and Bootcamp Preference (Available only with Premium meeting package)
Premium package attendees can participate in a combination of education on Saturday, July 25, that will provide up to 6 IAAP
CAP Recertification points. Please select your preference of sessions and we will do our best to accommodate your selection.
q I prefer to attend the Bootcamp-Morning session (8:00 - 11:30 a.m.) and the Afternoon session “Time and Contact Management Using Outlook: Outlook for
the Super User (1:30 - 5:00 p.m.)
q I prefer to attend the Morning session (8:00 - 11:30 a.m.) “Time and Contact Management Using Outlook: Outlook Productivity” and the BootcampAfternoon session (1:30 - 5:00 p.m.)
q I prefer to attend the Morning session (8:00 - 11:30 a.m.) “Time and Contact Management Using Outlook: Outlook Productivity” and the Afternoon session
“Time and Contact Management Using Outlook: Outlook for the Super User” (1:30 - 5:00 p.m.)
Marketplace Session Preference (Available only with Premium meeting package)
Premium package registrants will have the opportunity to attend Marketplace on Monday or Tuesday morning. Please select
your preference and we will do our best to accommodate your selection.
q Monday Morning Premium Marketplace Session (9:30 a.m. - Noon)
q Tuesday Morning Premium Marketplace Session (9:30 a.m. - Noon)
Standard package registrants will have the opportunity to attend Marketplace on Monday afternoon, 2:30 - 5:00 p.m.
Corporate Discount
A company may receive one complimentary Premium package registration with four or more paid Premium package registrants from the same company. To qualify,
registrations must be received at one time accompanied by IAAP’s Event Corporate Discount Form and one payment for all registrants. (An example of one payment is a check
with total payment for all registrants).
Corporate discount is subject to approval, one discount per company. Offer not available with online registration. No refunds available for canceled registrants who received
the corporate discount. Available for full event registrants only. IAAP chapters and divisions can obtain the corporate discount for IAAP Summit 2015 only. International
registrants (residing outside of the U.S. and Canada) are eligible for this discount. No other groups qualify as a company.
REGISTRANT NAME
ID NUMBER
B. Single Day Registration
Member
$300 per day
Nonmember
$400 per day
q Sunday
Includes Opening General Session, Keynote, Town Hall, Business Session, and Morning and Afternoon Education Sessions
q Monday
Includes General Session, Morning and Afternoon Education Sessions, and Afternoon Marketplace Session
q Tuesday
Includes Morning and Afternoon Education Sessions
q Wednesday
Includes Closing General Session, Keynote, and Morning and Afternoon Education Sessions
(copy total to meeting subtotals)
Total Section B
$________
C. Optional Events Registration
q Tuesday The Foundation of IAAP Celebration $40 x quantity ________________
q Additional Charitable Contribution to The Foundation of IAAP q $10
q $15
q $20
q $25
q Other__________
Subtotal (The Foundation of IAAP Celebration plus any additional charitable contribution) __________
q Wednesday Closing Celebration: Dinner & Party guest ticket (only one available if purchasing the Premium package)
(copy total to meeting subtotals)
$125
Total Section C
$__________
Meeting Subtotals
My full meeting package rate from section A
$_____________
My single day total from section B
$_____________
My optional events total from section C
$_____________
(this amount goes below for total enclosed in U.S. dollars) Grand Total
$_____________
Online registration will provide a speedy confirmation by email. If you register
by mail or email, you should receive a confirmation within three weeks of IAAP
receiving your form.
Payment Information
Cancellations must be received
by May 23, 2015 to be eligible
for a refund (subject to a $100
Total Enclosed in U.S. dollars______________________________________________________________
q Check or Money Order Number________________________________________________________
administrative fee). Cancellations
after this date are non-refundable.
Credit Card:
q Visa
q MasterCard
q Discover
q American Express
IAAP reserves the right to process
refunds after the conference
Card Number___________________________________________________ Expiration Date__________________
CSC Code____________
concludes. Transfer to another IAAP
conference is available. Please see
Name as it appears on card_____________________________________________________________
Billing ZIP/PC_____________________
www.iaap-hq.org/events/
events-policy for details.
Authorized Signature (required for processing)_________________________________________________________________________________
Closing Celebration: Dinner & Party Table Reservations
Once again, you will have the opportunity to reserve a table for the Closing Celebration: Dinner & Party. The money from the reserved tables will benefit
Family Scholar House, Louisville, Ky. To reserve your table, click this link and fill out the form.
I agree and acknowledge that I am undertaking participation in IAAP events and activities as my own free and intentional act and I am fully aware that possible physical injury might occur to me as a result
of my participation in these events.
I give this acknowledgement freely and knowingly and that I am, as a result, able to participate in IAAP events and I do hereby assume responsibility for my own well-being. I also agree not to allow any
other individual to participate in my place. This acknowledgement includes my guest(s) participation (if applicable) in any evening events.
IAAP plans to take photographs at IAAP Summit 2015 and reproduce them in IAAP communications and promotional material, whether in print, electronic or other media, including the IAAP website. By
participating in IAAP Summit 2015, you grant IAAP the right to use image, photograph and biography for such purposes. All postings become the property of IAAP. Postings may be displayed, distributed or
used by IAAP for any purpose.
Mail To: IAAP Summit, 10502 N. Ambassador Dr., Ste #100, Kansas City, MO 64153-1291
Ph: 816.891.6600; Email: [email protected]