Registration Form

  • Please use a separate registration form for each person.
  • Please indicate which payment option you will be making.

First Name:
Last Name:
 
E-mail:
 
In case of emergency please notify
Name:
Relationship:
Phone:
 
School Affiliation:
If your school was not on the list, please type it in here:
 
Organizations/Chapter Affiliation
Year in College/University?
Is this your first Excel Leadership Conference?
How did you hear about the 18th Annual Excel Leadership Conference?
If you choose "Other", please specify:
 
If an organization or chapter is paying for you, please list here:

PAYMENT INFORMATION

Regular
Submit online form & postmarked check by 2/1/08
Late & Day of
Submit online form & postmarked check after 2/1/08
UCSD
Students
$0 $0
Non UCSD
Students/Staff/Faculty
$10.00 $15.00
* Day of registration attendees are welcome!

Payment Options (Select one):
  1. UCSD Student - Free
  2. PAYMENTS MADE BY CHECKS
    • MAKE CHECKS PAYABLE (IN US FUNDS ONLY) TO: UCSD EXCEL
    • MAIL TO:
         University of California, San Diego
         Center for Student Involvement
         c/o Marilyn Russell
         9500 Gilman Drive
         La Jolla, CA 92093-0078
  3. PAYMENTS MADE BY PAYPAL
    • A LINK WILL BE PROVIDED AFTER SUBMITTING THIS FORM.


CONFERENCE REFUND POLICY

All refunds must be submitted in writing to marilynr@ucsd.edu.
Refunds will not be granted after January 30, 2008