PRINT SPRING 2008 CONFERENCE REGISTRATION FORM

Five ways to register:

Phone: 781-449-4010

Fax: 781-449-4024

Email: Learningbrain@yahoo.com

Mail:PIRI, 35 Highland Circle, Needham, MA 02494-3099

Online: 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 General Registration: April 27-29, 2008
$525 Registration (Before April 14)

($495 for L&B society members (Before April 14)

$
Late Registration -- AFTER April 14, 2008:
$565 per person late registration. 

($525 for L&B Society members) 		$
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 Sat. April 26.
Add $25 if not attending the conference.
(Please circle one)

1. Brain-based Teaching
10:00 a.m. - 5:00 p.m. ($250 per person)

 $

2. In the Minds of the Student with ADHD
10:00 a.m. - 5:00 p.m. ($250 per person)

 $

3. Making Math Real: Connecting Research to Practice K-12
10:00 a.m. - 5:00 p.m. ($250 per person)

 $

4. Intervention and Assessment for Learning Disorders
1:00 p.m. - 4:30 p.m. ($150 per person)

 $

5. Secret Stories - Cracking the Reading Code
1:00 p.m. - 4:30 p.m. ($150 per person)

 $
6. An Introduction to the Brain and Neuroscience
1:00 p.m. - 4:30 p.m. ($150 per person)		 $

Please register me for a Morning Pre-Conference Workshop on Tues., April 29.
Add $25 if not attending the conference.
Please circle one)
1. Applying Brain Research
1:30 p.m. - 4:30 p.m. ($150 per person)		 $
2. Brain Fitness for Adults
1:30 p.m. - 4:30 p.m. ($150 per person)		 $

_____Please check here if you would like professional development credits.
___I plan to attend the reception Monday night (FREE).
(Cash Bar Reception will take place at 5:00-6:00 p.m. on April 28 at the hotel. It's free but reservations are required.) 		$FREE
_____Please check here if you wish to register for the April 27 Sunday Networking Lunch ($29.50 per person). $
_____Please check here if you wish Professional Development Credit (Add $5 if you wish them mailed, or they wil be sent by email for free.
 ____Please check here if you plan to register for the Boston University Graduate Course (Add $50 here for admin. fees) TOTAL: $


_____Please check here if you have any special ADA requirements, and call 617-388-0906.

The MIT Faculty Club and Marriott Cambridge 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. (PIRI), 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 ext. 101 or 102. Registration is $525 per person and $495 for Learning & the Brain Society Members before April 14. After April 14, 2008, late registration is $565 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 April 14, 2008. No cancellations will be accepted after April 14, 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 April 14, 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 PIRIâs liability to participants shall be strictly limited to a refund of those fees.