The Chair Academy : Returning Registration Form

The Chair Academy - Worldwide Leadership Training for Post Secondary Leaders

Leadership Academy

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Returning Registration Form

Please fill in the information below. After submitting this form, please click the "back" button on your browser toolbar to return to your class web page.

Hotel & Meal Costs:

If you are staying at the hotel:
$129/night This is to be paid directly to the hotel.

Program Fee: $150 (includes five breakfasts, five lunches, and am/pm refreshment breaks)
This is to be paid directly to the Chair Academy.

Registrant Information:

First Name:

Last Name:

Title:

Department:

College:

Street Address:

City:

State:

Zip Code:

Country:

Email:

Work Phone:

Fax Number:

The Chair Academy will invoice you for the program fee ($150).

Cancellation & Transfer Policy

Before a progam begins, substantial administrative costs related to your registration are incurred. Therefore, the following fees apply:

# wks before program	substitutions	transfer	cancellation fee
more than 4 weeks	Yes (no fee)	None	None
3-4 weeks	Yes (no fee)	None	$75
less than 3 weeks	Yes (no fee)	$75	$125

By submitting this form, you are stating that you have read and agreed to the cancellation and transfer policy and accept its terms.

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The Chair Academy's
2012 International Leadership Conference
March 26-29, 2012
Atlanta, Georgia

Hosted by
Georgia Perimeter College

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