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Click Here 8 Upgrade <br />'' Expanded Features <br />~~F , Unlimited Pages <br />Complete <br />r~r~c.vw Cvv~ <br />REGISTRATION FORM <br />^ Checc here if name and address are to be corrected on ICSC's records to conform to information below <br />Note: Changes in company membership can only be done if paid by the individual. <br />PLEASE PHOTOCOPY FORM AS NEEDED. <br />REGISTRATION INFORMATION <br />RETURN TO: <br />INTERNATIONAL COUNCIL <br />OF SIiOPP1NG CENTERS <br />P,O. Box 26958 <br />Newyork, NY 10087-6958 <br />FAX: +l 732 6941800 <br />ONLINE: <br />www.icsc.org <br />Individual Membership Number* (As it appears on your membership card) <br />*To qualify for the member rate, each registrant m ust be an ICSC member. A company membership does not entitle every employee <br />of that company to register at the member rate. ` <br />Last Name First Name <br />Company Name Title <br />Mailing Address <br />City <br />BusinessTelephone <br />StatelProvince Country Zip/PostaE Code <br />Fax Number <br />SPOUSE PROGRAM .Indicate name of Convention registrant <br />E-Mail <br />Last Name First Name <br />Badge and Correspondence Mailing Address <br />City <br />Fax Number <br />StatelProvince Country Zip/Postal Code <br />MEETING REGISTRATION FEES <br />E-Mail <br />Advance On-site <br />ICSC Members $397 $525 <br />Non-members $840 $995 $ <br />Pay the member rate by joining ICSC today. <br />.Student Members $50 $50 <br />Spouse Program $397 $525--~ $ <br />ICSC MEMBERSHIP FEE (Foc Non-members) <br />Regular and Associate $800 <br />Affiliate and Public/Academic $100 <br />Public/AcademicAffiliate $ 50 $ <br />Student J $ 50 <br />IMPORTANT: ICSC-issued color photo badges <br />are required for everyone attending RECon. <br />Badges will be mailed only to those who have <br />submitted an acceptable photo and registered <br />by March 31, 2009. Avoid delays in Las Vegas, <br />submit a a photo now. Instructions can be <br />found on ICSC's web site at <br />http://vuww icsc.org/photo. <br />TOTALAMOUNT DUE $ <br />METHOD OF PAYMENT All prices are in U.S. funds. <br />^ Check or money order made payable to ICSC enclosed for $ or ^ MasterCard ^VISA ^ AMEX ^ Discover $ <br />Nams (as it appears on credit card) ~ Signature <br />Credit Card Number (include all digits) Expi "ration Date <br />REGISTRATION DEADLINES <br />Register and submit a photo by March 31, 2009 to receive your badge in the mail. Regis- <br />trants who pay the member rate must be a member in good standing on March 31 to retain <br />that Late and.receive a badge in the mail. Ail Convention and Spouse Program badges will <br />be mailed at the enci of April with instructions. Upon arriving in Las Vegas just stop by the <br />Registration Center at the LasVeges Convention Center or at one of the remote satellite air- <br />portlocations to pick up your badge holder and program information. <br />March 31, 2009 Register and submit a photo by deadline to receive your Convention <br />badge in the mail and to be listed in the Advance Registrants Directory. <br />Apri130, 2009 Deadline to pre-register before arriving in Las Vegas. Registrations <br />will not be atxepted after this date. <br />May 76, 2009 Registrations will be accepted on-site in Las Vegas. <br />CANCELLATIONS/TRANSFERS: If you are <br />unable to attend RECon, you may transfer <br />your registration to a colleague (member to <br />non-member transfer requires higher regis- <br />trationfee be paid): All transfers are subject <br />to a $25 fee and the deadline is March 31, <br />2009. You may cancel your registration up <br />to March 31, 2009 and receive a refund. <br />All cancellations will be subject to a $25 fee <br />'and must be received by ICSC in writing. <br />No refunds will be issued after March 31. <br />ADA: Any disabled individual desiring an <br />auxiliary aid for this meeting should notify <br />ICSC at least five weeks prior to the meeting. <br />CONTINUING EDUCATION CREDITS: ' <br />SCSMlSCMD:1.5 credits; CLS:1.5 credits <br />2009SC-A <br />34 <br />