2009 TASA/Syfr Conference
A Three-Part Series

Registration Form

Use this form to register for one or all events. 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 contact Syfr at 360.694.8071 Ext 3.

Contact Information

Dr.

Mr.

Mrs.

Ms.

Miss

*First Name:

*Last Name:

*Title:

*Organization/School District:

School (If applicable):

*Address:

Address 2:

*City:

*State:

*Zip Code:

*Phone:

xxx-xxx-xxxx

Fax:

*E-Mail:

* indicates required fields

Please check each event you will be attending:

A Whole New Brain – EVENT CONCLUDED
July 19-22, 2009 – Hyatt Lost Pines, Austin, Texas Fee – $1,975

A Whole New Education: Addressing the Articles of Technology, Standards,
Assessment, Re-organization and State-District Relationships
– EVENT CONCLUDED
September 9-10, 2009 – Hyatt Regency, Houston Texas Fee – $775

A Whole New World: The Future of American Jobs;
Ramifications for Public Education
Ocbober 27 & 28 , 2009 – Hyatt Lost Pines, Austin, Texas Fee – $775

Fee includes registration, lodging on October 27^th, and meals. Syfr will make your reservation for you.

No hotel room required (a $145 discount will be applied to your registration)

Please indicate below any special needs, dietary requirements or requests:

Billing Information

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.

The TASA/Syfr conferences will span two school years. If you require invoicing to reflect the dates related to each of these years, please check below and we will call you to customize your billing to meet your requirements.

Bill me directly for the entire amount

Bill my school district for the entire amount

Bill my school district for the registration fee and bill me for all other costs
(such as guest fees, extra nights, etc.)

The TASA/Syfr conferences will span two school years. If you require invoicing to reflect
the dates related to each of these years, please check below and we will call you to
customize your billing to meet your requirements.

District Contact:

District Phone:

District E-mail:

Please Choose Your Payment Options:

Credit Card
(We will call you to collect card info)

Purchase Order #

Check/Money Order

Other

Thank you. You will receive a confirmation email within two business days.

2009 TASA/Syfr Conference A Three-Part Series

Registration Form

2009 TASA/Syfr Conference
A Three-Part Series