NASDDDS
2008 Annual Conference

Crowne Plaza Hotel - Old Town Alexandria
Alexandria, Virginia
November 12-14, 2008

Constructing the New Paradigm:
Responding to Demographic and Economic Realities
- REGISTRATION FORM -

Please fill in ALL of the registration blanks.
This input will be used for your Badge & the Attendee List to be distributed at the meeting.

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You will be emailed an invoice for the registration fee to the address provided on this form.
First Name
Last Name
FULL NAME FOR BADGE
(how you would like your name to appear on your badge, i.e. first name, last name, etc.)
Job Title
Phone (numbers only, no dashes, etc.)
Fax (numbers only, no dashes, etc.)
Email Address:
Agency/Organization
Division
Mailing Address
City
State
Zip
Country
DIETARY RESTRICTIONS:

Vegetarian Vegan No red meat Kosher No pork Other (Specify)

CHECK THE APPROPRIATE BOX(ES):

I am planning to attend the Directors' Forum on
Wednesday, November 12 (Open to NASDDDS Members Only).

I am planning to attend the State DD Attorneys' Meeting on
Wednesday, November 12 (Open to State DD Attorneys Only).

I am planning to attend the Welcome Reception on
Wednesday, November 12, 6:00 PM - 7:30 PM (Open to all Attendees).

REGISTRATION FEE:

Member Attending Conference - $295
Non-Member Attending Conference - $395
Attending Directors' Forum ONLY (Wednesday, November 12) - $95
Attending State DD Attorneys' Meeting ONLY (Wednesday, November 12) - $95
SPECIAL ACCOMMODATIONS or Other Requests:

If you require a special accommodation to facilitate participation in the meeting or have additional billing or other comments, please indicate below:

Wheelchair Access
Sign Language Interpreter
Braille Documents
Other, please describe below
(use this space for any requirements pertaining to your meeting/registration needs):

The Conference registration fee for member state agency staff is $295 and $395 all other (non-member) attendees. The Conference registration fee includes: all meeting materials, sessions, morning and afternoon refreshments, a Wednesday night reception, and Thursday afternoon lunch. (The registration fee does not include your hotel reservation or transportation to the conference.) The Directors' Forum and State DD Attorneys' Meeting registration fees includes morning and afternoon refreshments, lunch, and a Wednesday night reception.

A special group rate has been reserved for a limited time at the Crowne Plaza Hotel - Old Town Alexandria, but only until all group rooms have been allocated or until the group cut-off date, whichever comes first.

The rate is $169 plus applicable taxes.

Deadline for reservations at the group rate is October 19, 2008.

Book your reservations by calling the hotel at 1-800-972-3159.

Be sure to mention that you are attending the NASDDDS 2008 Annual Conference when making your reservation. You can make your reservation online at Crowne Plaza Hotel Old Town Alexandria. Enter Group Code: DDS to receive the conference rate.

You will be emailed an invoice for the registration fee to the address provided on this form.
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National Association of State Directors of Developmental Disabilities Services
113 Oronoco Street, Alexandria, VA 22314; Tel: (703) 683-4202