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2009 Syfr Summer Retreat
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Registration
Form
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The Brain, The Classroom, The Connection
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July 19 – 22, 2009 @ The Hyatt Lost Pines Resort – Austin, Texas
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Please complete in full and select "Submit" at the bottom of the form. If you would prefer to fax your registration, click here for a printable form: Printable Form
Within 2 weeks of receiving your registration, we
will send you a confirmation invoice with payment instructions.
Questions? Please call Syfr at 360.694.8071 Ext 3.
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Contact Information
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Ms.
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Mrs.
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Mr.
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Dr.
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First name
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Last name
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Address
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City
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State
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Zip/Postal Code
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Title
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School
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School District/Organization
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Phone
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Fax
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E-mail
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Guest Information
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We encourage you to bring your family and/or a guest. The guest fee
is $450 to cover meal costs. Your guest is invited to attend any seminar
sessions they choose at no additional charge.
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Guest's Name:
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Lodging Information
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The registration fee includes three nights
lodging* at the Lost Pines Resort in Lost Pines, Texas, arriving on July 19, 2009 and departing on July 22, 2009. Syfr Corporation will make your hotel reservations for the nights of the retreat. If you have any questions about your reservation, or need to change it, please contact Syfr Corporation directly at 360.694.8071 Ext 3; do not contact the Lost Pines Resort directly.
Lost Pines Resort welcomes you to stay additional nights before and/or after the retreat at a discounted room rate, depending on availability. Please make reservations for extra nights through Syfr by indicating the additional dates you would like to stay at the Lost Pines below. We will contact you with pricing and confirmation information.
Additional dates requested:
No Hotel Room Required – *If you live in the Austin area you may choose to drive in daily rather than stay at the hotel. Full-day sessions will start at 7:30 a.m. with breakfast and end around 9:30 p.m. If you choose this option, your registration fee will be reduced by $525.
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Payment & Billing Information
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Registration Fee is $1975.
The following discounts may apply.
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$50.00 Off per Registrant, when registering in-groups of
three or more attendees from the same school district.
Name of Other
Participants:
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$175.00 Off per Registrant for Double Occupancy Rooms
Name of Registered
Roommate:
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This fee is all-inclusive and covers costs for all sessions,
lodging, and meals. It also includes materials sent to all attendees prior to
the retreat, as well as access to web media resources after the retreat.
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Syfr will email you an itemized invoice after we receive your registration form.
The invoice will include payment instructions as well as our cancellation/refund
policy. You can also view our cancellation/refund policy on our website at
www.syfrcorp.com
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Payment Instructions
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How will you pay for your bill?
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Bill me directly for the entire amount
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Bill
my school district for the entire amount.
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Bill my school district for the registration
fee and bill me for the guest fee.
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District Contact:
District Phone:
District E-mail:
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Please Choose Your Payment Options:
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Credit Card (we will call you to collect
card info)
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Purchase Order #
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Check/Money Order
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Other
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Special Requests
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Please let us know if you have any special dietary,
ADA
, or religious requests and we will do everything
we can to accommodate them. Please let us know in advance!
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Thank you!
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You can also print out this page and fax to 360.314.6153 |
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