Registration Form
All fields are required unless marked with a "*". Name, Title and Company will appear on badge as submitted.

Name

 

Title

 

Company/Affiliation

 

Address

 

Address*

 

City

 

State/Province*

 

Zip/Postal Code

 

Country

 

Telephone

 

Facsimile*

 

E-Mail

 

Registration Fee:

 

ACTE Member $295 USD

 

Payment:

 
Check
American Express Diners Club MasterCard Visa

Cardholder Name

 

Card Number

Exp Date

(Note: If you require a copy of this registration please
print using your browser's print feature before submitting this form.)


You may submit this form online, fax: 1-703-683-2720 or Mail:
ACTE Leadership Summit
515 King Street
Alexandria, VA 22314

You may call 1-800-ACTE-NOW for questions or more information.


(REFUNDS ONLY GIVEN ONE WEEK PRIOR TO FORUM.)

Hotel Accommodations
Wyndham Greenspoint Hotel,
12400 Greenspoint Drive,
Houston, TX 22060
Tel: 281.875.2222

Please contact the hotel directly for room reservations at the ACTE negotiated rate of $99.00.
This special rate will be extended until August 17, 2001

Cancellation Policy
Full refunds will be given prior to September 4. All cancellations must be recieved in writing. No refunds will be given after September 4.

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