14th Annual New Jersey Advisors Conference
Conference Registration Form

Please print the registration form, complete it and mail it with your check or money order for payment to the address listed below. Please feel free to duplicate this form and pass it along to others.

Fee includes continental breakfast, lunch, keynote speech and conference

Make checks/money orders out to: Kean University and write in memo area of check “NJ Advisors Conference”.

 

Name____________________________ Job Title__________________

Institution_________________________________________________

Address___________________________________________________

_________________________________________________________

_________________________________________________________

Telephone________________

Fax_____________________

E-Mail___________________

Special requirements (e.g., dietary, access)

_________________________________________________________

Conference Fee (please check off all that apply):

Please make checks or money orders payable to Kean University

Early registration fee--------------------------------------------$40________

Registration fee if it will be postmarked after May 19th----- $50________

Optional “Tea and Tour at Liberty Hall Museum” fee-------$12.50______

Total enclosed_______

In order to provide adequate notice of the number of attendees, we are unable to give refunds for the conference and/or “Tea & Tour”. In the event you are unable to attend, you may send a substitute.

Due to budgetary considerations, the conference is unable to offer complimentary registration or lodging for session presenters or Kean employees.

Sent this completed form and payment to:

Kean University
New Jersey Advisors Conference
Linda Bradbury, Chair
Center for Academic Success, Room 222
1000 Morris Avenue
Union, NJ 07083