Registration

AJCU 2009 Conference on Information Technology Management and Educational Technology

Please complete this registration form by April 15th for each attendee.

The fields in bold are required.

First Name

Last Name

Title

Street Address

City

State or Province

Zip Code

Email Address

Business Phone Number

(Please enter numbers only, such as 4154224407, without hyphens or any other non-numeric characters.)

Track

Please check the track you are most interested in, to help us with room planning. You may still attend sessions from other tracks.

Activities for Attendees

Please check the box next to each activity you wish to participate in:

	Sunday 12:00 p.m. - 5:00 p.m. Kansas City Royals Baseball Game ($32 per attendee)
	Sunday 12:30 p.m. - 5:00 p.m. Nelson-Atkins Museum of Art ($6 per attendee)
	Tuesday Evening Reception 4:30 p.m. - 10:30 p.m. - American Jazz Museum Tour, Gem Theatre Lobby, Kansas City BBQ and Live Jazz (no fee for attendees)

Activities for Guests

Please enter the number of guests you would like to bring to each activity:

	Sunday 12 p.m. - 5:00 p.m. Kansas City Royals Baseball Game ($32 per attendee)
	Sunday 12:30 p.m. - 5:00 p.m. Nelson-Atkins Museum of Art ($6 per attendee)
	Tuesday Evening Reception 4:30 p.m. - 10:30 p.m. - American Jazz Museum Tour, Gem Theatre Lobby, Kansas City BBQ and Live Jazz ($100 per guest)

Registration Fee

$400

Registration and Activity Total Amount

Please include the total for registration and all activitives

The registration fee is $400 per attendee and does not include hotel accommodations. Please mail a check for $400 plus any optional activity fees, payable to "Rockhurst University" and postmarked by April 15th, to:

Michael Craig - AJCU registration
Rockhurst University
1100 Rockhurst Rd.
Kansas City, MO 64110-2561

We will email you to confirm receipt of your payment.

After you click Submit, you will see a confirmation page. If you need to make any changes to your registration, please contact us at michael.craig@rockhurst.edu or 816-501-4065.