1. education
2. alumni and reunions

This worksheet is a useful tool for individuals who are responsible for registering others for the CASE DIII
Conference. This is not a registration form and cannot be submitted in lieu of registering online.
Visit casethree.org for information and to register. The final registration deadline is Feb. 6, 2015.
Name (name of person attending conference)
Preferred name on badge
Email
Institution
CASE Online Password (you will need this to register online)
Title
Mailing Address
City, State, Zip
Office Telephone
Mobile Telephone
Emergency Contact Name & Phone Number
CFRE ☐ Yes ☐No
Select Your Registration Option
All rates are in USD, unless specified. Customers outside of the United States will see a converted
amount during the registration process, based on their location in either CAD, GBP, EUR, AUD, SGD or
USD.
By Nov. 17, 2014
☐ CASE Member - $359 (includes Monday Special Event, Tuesday Awards Banquet and Wednesday Closing Brunch)
☐ CASE Nonmember - $459 (includes Monday Special Event, Tuesday Awards Banquet and Wednesday Closing Brunch)
☐ Group Registration - $349 (To qualify for a group discount, 3 or more registrants must be from the same institution and
registering at the same time, group registration deadline Jan 9, 2015)
☐ Newcomers Workshop - $199 (includes lunch)
☐ Art of the Ask Immersion Session - $149 (includes lunch)
☐ HBCU Community of Practice - $149 (includes lunch)
After Nov. 17, 2014
☐ CASE Member - $459 (includes Monday Special Event, Tuesday Awards Banquet and Wednesday Closing Brunch)
☐ CASE Nonmember - $549 (includes Monday Special Event, Tuesday Awards Banquet and Wednesday Closing Brunch)
☐ Group Registration - $349 (3 or more, registered at the same time, group registration deadline Jan 9, 2015)
☐ Newcomers Workshop - $249 (includes lunch)
☐ Art of the Ask Immersion Session - $199 (includes lunch)
☐ HBCU Community of Practice - $199 (includes lunch)
Full Conference Included Events
If you are registering for the full conference, the Monday Night Special Event, Awards Banquet and
Closing Brunch are included in the registration fee. To assist the planning committee, please let us know
if you will attend those events.
☐ Yes, I will attend the Monday Night Special Event.
☐ Yes, I will attend the Awards Banquet.
☐ Yes, I will attend the Closing Brunch.
Single-Day Registrations
☐ CASE Member - $229 (does NOT include Monday Special Event or Tuesday Awards Banquet)
☐ CASE Nonmember - $279 (does NOT include Monday Special Event or Tuesday Awards Banquet)
Optional Events
☐ Presidents Day Luncheon - $45
☐ Opportunity & Inclusion Luncheon - $45
☐ Monday Special Event - $50 (for guests and single-day registrants)
☐ Tuesday Awards Banquet - $75 (for guests and single-day registrants)
Select Your Area of Greatest Interest
☐ Advancement Services
☐ Alumni Relations
☐ Fundraising/Development
☐ Communications/Marketing
☐ Philanthropy
☐ Independent Schools
☐ Community/Technical College
Choose Your Institution Type
☐ Four-year Public
☐ Four-year Private
☐ Independent School
☐ Community/Technical College
How Many Years Have You Worked in Advancement?
☐0-4
☐ I am new to advancement.
☐ 5 -14
☐ I have less than four years in advancement
and would like a mentor
☐ 15 - 24
☐ This is my first CASE conference
☐ 25 +
Conference Volunteers
☐ I would like to volunteer at CASE concierge
☐ I would like to be a conference host.
☐ I would like to be a mentor.
☐ I would like to be a moderator.
☐ I would like to assist with registration.
☐ I would like to donate an auction item listed below.
Please list any dietary restrictions or provide any special assistance you may need.
Cancellation/Refund Policy
CASE District III Cancellation/Refund Policy
While we do not believe you would want to miss the conference, we strictly adhere to the following
cancellation policy. Registration fees for cancellations received, on or before 5 p.m. EST Jan. 9, 2015 will
be refunded, less a $50 handling fee. Conference fees will not be refunded for cancellations received
after 5 p.m. EST on Jan. 9, 2015 or due to inclement weather.
Requests for a refund after Jan. 9, 2015 must be submitted online via the Cancellation/Refund Request
Form. Requests will be processed after Apr 30, 2015.
Questions?
States: MS, NC, SC, KY, VA
Tanea Pettis, Registration Co-chair
UNC General Alumni Association
Email: [email protected]
Office: (919) 843-9694
AL, FL, GA, TN
Amanda L. Trabue, Registration Co-chair
Vanderbilt University, Peabody College
Email: [email protected]
Office: (615) 936-4533