Registration Fees

*Registration Fee Select registration type Standard Registration: $145 Teachers at A+ Schools; UNCG Faculty, Staff, Students: $60 Confirmed A+ Teacher Presenters: $40 A+ Staff/Conference Facilitators: No Registration Fee

Registrant Information

*Title/Position
*First Name *Last Name
*Grade Level
*Subject Area
*Organization
*Organization Address
*Organization City *Organization State Select State Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Organization Zip
*Organization Phone Organization Fax
*Organization Email

 

Summer Address Information

Check if summer address is same as above.

*Summer Address
*Summer City *Summer State Select State Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Summer Zip
*Summer Phone
*Summer Email
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Overnight On-Campus Housing

Rooms are available on Wednesday, August 1st and Thursday, August 2nd only. Housing is available on a first-come, first-served basis.

All rooms are in Cone Hall, a high-rise, air conditioned residence hall on the UNCG campus. Each room is equipped with two double beds, dressers, desks, closets, overhead lighting and a shared bath. Fees include linens (two sheets, blanket, pillow, pillow case, towel, hand towel and wash cloth.

If you are sharing a room, please submit only one form. We will send confirmation to the main contact listed on the form via email with all pertinent information. Please write clearly and submit only one form per room. Groups may submit a room list with total payment.

Please download this form and fax it to: 336.379.0851

(Click here to see details for off-campus hotel accomodations.)

Payment & Billing Information

Note: If paying by check please disregard credit card information and billing address information.

Make your check payable to Conference Resources, Inc. and mail to:
(Please make sure you include the names of each person you are paying for.)
Conference Resources, Inc.
405 Battleground Avenue – Suite 204
Greensboro, NC 27401

*Payment Options Select payment type Credit Card Check *Check Number
*Credit Card Select credit card type Visa MasterCard American Express
*Credit Card Number *Credit Card Vcode
what is a credit card vCode?
*Expiration Date Month 1 2 3 4 5 6 7 8 9 10 11 12 Year 2010 2011 2012 2013 2014 2015 2016 2017
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Billing Address Information

Check if billing address is same as above.

*Address
*City *State Select State Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
*Zip