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National Council
on Independent Living
 
 
Not Just Responding To
Change, But Leading It!
 

NCIL 2008 Annual Conference on Independent Living

Registration Form

After you complete this form you will automatically be directed to the online store for payment, which accepts Visa and MasterCard only! You can also purrchase Conference registration by traditional mail or fax by using this Printable Registration Form (PDF). Or this Text-Only Registration.


Please Note: Personal Assistants are not required to pay the registration fee but should fill out a form to receive a badge.  Personal Assistants are welcome to attend all conference events, including scheduled meals and receptions.   

Registrant Replacement

If it has become necessary for you to send someone to the conference in your place, please contact us as soon as possible.  Substitutions must be made in writing, PRIOR to the conference.  Please send written requests to the National Council on Independent Living by fax to (202) 207-0341, or by email to ncil@ncil.org.

Cancellation Policy

Cancellation requests received on or before July 11, 2008 will be refundable less a $50 processing fee.  There will be no refunds made after July 11, 2008.  Cancellation requests must be made in writing and sent to the National Council on Independent Living by fax to (202) 207-0341, or by email to ncil@ncil.org.



 

NCIL 2008 Annual Conference Registration Form

Please use a separate form for each registrant. Required Information is noted with an asterisk (*).

Full Conference Registration (Early Bird Rate Available until May 23): Includes materials, workshops, and Banquet. Please selct one:

NCIL Member Early Bird Registration: $190

Non-member Early Bird Registration: $310

Youth Registration Fee: NCIL Members-Only (Under 22) $110

(No Charge; after you hit submit and are       redirected to the online store, simply close the window. Your registration as a PA will be       processed.)

 Stop! If you are purchasing a Full Conference Registration, it is not necessary to select any of the                               following. Please scroll down to fill in your personal information.

 Other Options        

 Daily Rate (Banquet ticket not included)  

                      

           Banquet Rates:               

 

Personal Information:

*Name:                                    Region: 

*Organization Name:          
                                            (please spell out, without acronyms)

*Mailing Address Line 1:     

Mailing Address Line 2:       

*City:                                               

*State:                                  *Zip Code:

                         

*Fax:                                  

*E-mail Address:                

Website (if applicable):      

 

Please indicate any accomodations you will need to particpate in the Conference:

Training Materials:  Please indicate whether you would like to receive publications in the following formats:

Large Print                 Braille                  Audio CD                   Text-Only CD

Accomodations

Reader            American Sign Language            CART            Assistive Listening Device

Transcript        Contact Sign           Personal Assistant            Other:

               Low Cholesterol          Other:

 

 
 
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