PRINT NOV. 2008 CONFERENCE REGISTRATION FORM

Five ways to register:

Phone: 781-449-4010 ext. 101 or 102
Fax: 781-449-4024
Email: Learningbrain@yahoo.com
Mail: PIRI, 35 Highland Circle, First Floor Needham, MA 02494-3099
Online: www.edupr.com or www.LearningAndTheBrain.com

PLEASE PHOTOCOPY THIS FORM FOR EACH APPLICANT.
Name
Position
Organization
Address
City State Zip
Phone
Fax
Email

Demand is high and space is limited. Please register early to assure yourself a place.

Please register me for the conference.

Conference Registration for Nov. 21-23, 2008

$450 Early Bird Registration (Register before August 15, 2008, at $450 per conference)

$525 Conference General Registration (AFTER Aug. 15 and BEFORE Nov. 7, 2008)

$495 Conference Registration for Society Members (BEFORE Nov. 7, 2008)

$

Late Conference Registration: AFTER Nov. 7, 2008:

Late Registration: $545 per person.

Late Registration for L&B Society members: $525 per person

 $

GROUP RATES- $475 per person.


Five or more from one organization.

Registrations must be sent in together.		 $
Please register me for a Pre-Conference Workshop on Nov. 21.
Add $25 if not attending the conference.
(Please indicate which one)

1. Applying Brain Research to Classroom Practice
9:00 a.m. - 12:15 p.m. ($175 per person)

 $

2. Improving Memory Pathways for Long-Term Retention
9:00 a.m. - 12:15 p.m. ($175 per person)

 $

3. The Story and Science of the Reading Brain
9:00 a.m. - 12:15 p.m. ($175 per person)

 $

4. Brain 101: An Introduction to the Brain, Emotions and Neurosciences
9:00 a.m. - 12:15 p.m. ($175 per person)

 $

5. Understanding Autism and Asperger's Syndrome
9:00 a.m. - 12:15 p.m. ($175 per person)

 $
6. Emotions, Meditation & Education
9:00 a.m. - 12:15 p.m. ($175 per person)		 $
Special Events/Luncheons

_____Please register me for the "Meeting of the Minds" reception. (Free. Saturday, Nov. 22, at 5:00-6:00 p.m. at the Marriott Cambridge Hotel.) 		$

_____Please register me for the Networking Luncheons. ($29.50 per person. Sunday, Nov. 23, at 12:15-1:15 p.m. at the MIT Faculty Club.) 		 $

_____Please check here if you would like professional development credits. ($5 charge for paper certificate copy for postage/shipping/handling). FREE if certificate is sent electronically. Please send ___By mail ($5) ___By email		 $

_____Please check here if you plan to submit a poster session for the Nov. conference.

_____Please check here if you have attended the Learning & the Brain conferences before.

How did you hear about the conference? ______________________________________________________________________
  TOTAL: $


_____Please check here if you have any special ADA requirements, and call 781-449-4010 ext. 101.

The Boston Marriott Cambridge Hotel and MIT Faculty Club Hotel are ADA compliant.
Choose your method of payment (check one)
_____Check enclosed _____Purchase order enclosed
Make check or purchase order payable to Public Information Resources, Inc., and mail it along with your registration form to: Learning & the Brain, Public Information Resources, Inc., 35 Highland Circle, First Floor Needham, MA 02494-3099. P.O.s will be invoiced if sent without check. Registrations without payment or purchase order will not be confirmed.

_____Charge registration(s) to my credit card: ______VISA ______MasterCard _______AmEx
Card Number:
Exp. Date:
Cardholder Name:
Cardholder Billing Address/Zip:
Cardholder Signature:

REGISTRATION POLICIES

Registrations are taken and confirmed, on a first-come, first-served basis according to receipt of full payment or purchase order. Unpaid registrations without a purchase order will be cancelled after 30 days. If you do not receive a confirmation within three weeks after sending full payment or purchase order, call 781-449-4010. Registration is $525 per person and $495 for Learning & the Brain Society Members before Nov. 7. After Nov. 7, 2008, late registration is $545 per person or $525 for Society members. A $35 administrative fee will be added for on-site registration at the conference. Groups of five or more may register at $475 per person if registering together by with payment or purchase order.

 

SUBSTITUTIONS, CANCELLATIONS AND WAIT LIST

Substitutions are permissible up to seven days before the conference, but you must notify PIRI in writing by fax or mail. Cancellations must be requested no later than Nov. 7, 2008. No cancellations will be accepted after Nov. 7, 2008. Because cancellations incur substantial administrative costs, we regret that it is necessary to charge a cancellation fee of $150 per person. Registrants who cancel (before Nov. 7, 2008) in time to receive a refund will nonetheless incur a $150 processing fee. Cancellations must be sent in writing to PIRI at 35 Highland Circle, First Floor Needham, MA 02494-3099. or faxed to PIRI at 781-449-4024.

CONFERENCE PROGRAM CHANGES

Public Information Resources, Inc. (PIRI) reserves the right, without having to refund any monies to participants, to make changes in the conference, its program, schedule, location, and/or faculty should PIRI, in its sole discretion, deem any such changes necessary or advisable. Similarly, PIRI further reserves the right to cancel any sessions, events, workshops, credit courses, or the conference, entirely, in which case PIRI's liability to participants shall be strictly limited to a refund of those fees.