Registration Form

  • Conference Date: Saturday February 28th, 2009
  • Pre-Conference Time: 9am - 12pm
  • Conference Time: 12:30pm - 4:30pm

  • 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 19th Annual Excel Leadership Conference?
If you choose "Other", please specify:
 
If an organization or chapter is paying for you, please list here:

PAYMENT INFORMATION

General Conference Admission General Conference + Pre-Conference Admission
UCSD
Students
$5 $15
Non UCSD
Students/Staff/Faculty
$25.00 $35.00

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


CONFERENCE REFUND POLICY

All refund requests must be submitted in writing to ucsdexcel@gmail.com.
Refunds will not be granted after Feburary 25, 2009

* Day of registration attendees are welcome!