**  Please note the ORNL tour requires a separate Registration but is included in the conference fee. 

Full Name:

 

 Name to appear on tag:

 

 Title:

 
Firm/Organization:

 

 Address 1: Address 2:

 
City: State: Zip:

 
Phone:

 

 Fax: Email:
Please check the appropriate box:

Early Bird Special

  
[ ] Conference Registration Fee: $195 after April 30 $225
[ ] Student Registration Fee: $75 after April 30 $80
[ ] 8:00 AM Pre Conference tutorial: $90
[ ] 1:00 PM Pre Conference tutorial: $90
[ ] 8:00 AM Pre Conference Student Fee: $30
[ ] 1:00 PM Pre Conference Student Fee: $30
[ ] Consider for Dorm Room                           [  ] Willing to have roommate 
Dietary Needs? _Vegetarian _Diabetic

[  ]Companion Registration: $90 for banquet, ORNL tour, and meals

[  ] Companion Registration: $35 for banquet

[  ] Companion Registration: $35 for ORNL tour

 

 

Companions Name:

 

 

Payment options

[ ] Enclose check made payable to: The University of Tennessee: JRC Conference.

[  ] Pay by credit card

Card Type: ______________________________       

Card Number:____________________________            

Expiration Date: __________________________         

Cardholders Name: ________________________      

 

Mail To:             OR        FAX To: (865) 974-4842        

The University of Tennessee

Center For Executive Education 

702 Stokely Management Center 

Attention: Judy Snow  

Knoxville, TN 37996    

     

Confirmation

Please confirm meeting registration to:

Name   _______________________________________________________

Please send confirmation & receipt via email to: _________________________________

HOTEL ACCOMMODATIONS ARE THE RESPONSIBILITY OF THE PARTICIPANT