CGI CONFERENCE REGISTRATION
July 30 - August 1, 2009
San Diego, CA

This online registration must be accompanied by a credit card payment or a district/agency voucher or purchase order number. The voucher or purchase order must be received within 15 days of this registration.

After filling in the blanks, click on the "submit form" button at the bottom of the page to send this information to Teachers Development Group

First Name

Last Name

Home Street Address

City

State

Zip Code
Home Phone
– – 		Cell Phone
– – 		Work Phone
– –
E-Mail (During the School Year)
 E-Mail (During the Summer)

School District / Agency / University

Position / Grade Level




Which CGI conferences have you attended? How many years have you used CGI?
Raleigh, NC (March 2007) 0 Years (I am brand new to CGI.)
St. Louis, MO (October 2004) 1 year
Minneapolis, MN (October 2002) 2 years
Phoenix, AZ (October 2000) 3 years
None 4 years
  5 or more years.
A database is being created to keep CGI leaders and conference participants informed of CGI developments.
Please list the CGI Leaders who you have worked with.


Do you provide CGI professional development/support to other teachers?
Yes
No

To maximize the interactivity in sessions, the extended Saturday afternoon sessions will be ticketed and limited in
attendance size. Please select the 3 sessions you would most like to attend. For descriptions of the ticketed sessions click here. We will try our best to accommodate your preferences.

** SELECT THREE DIFFERENT SESSIONS.

First Choice

Second Choice

Third Choice

Please make your room reservation directly with the Doubletree hotel. Remember to mention that you will be attending
the CGI conference so that you will be offered the special room rate.

For planning purposes only, do you think you will be lodging at the Doubletree Yes     No    Not Sure

Please let us know about any special considerations (dietary restrictions, handicap accessibility, etc.).

FEE PAYMENT

Amount Paid
(required)

$265 per participant

Cancellations
If you must cancel, $50 is nonrefundable. All additional payments are fully refundable up to 30 days before the first day of the conference, and nonrefundable after that. Your refund request must be received in writing (email Candace Cabral at cgi2009sd@projects.sdsu.edu) by June 30, 2009.

PAY ONLINE - Please check one :

Visa
Mastercard
Discover Card

Credit Card #

 

Expiration Date

  /

Name on Credit Card.


Billing Address

City

State

Zip Code


PAY BY VOUCHER/PURCHASE ORDER

FAX to: 503-650-1575

Employer Voucher or Purchase Order Number

Name of School, District, or Agency providing voucher/purchase order


Billing Address

City

State

Zip Code

 
CONFIRMATION – An e-mail confirmation will be sent to you upon of receipt of this completed registration. In addition, you will receive an email by early Summer 2009 to let you know which ticketed session you will attend.