To register online for the ARC Seminar 2008, please complete the form below, and submit.

Please complete this form with contact and payment information for each person attending the seminar.

Registrant Information
Last Name		First Name	Badge name (Nickname)
Affiliation		Title
Address1
Address2
City		State		Zip
Phone		Fax		Email

	I plan to attend optional Web Development Training on Thursday, October 30 (1:00-4:00 pm) (Limited to first 30 registrants.)
	I have accessibility needs. (A seminar representative will contact you for additional information.)
Payment Information
Payment Amount:     $				(See Table Below)
Payment Method:

	Purchase Order#
	Payment by check or money order will be mailed by:
	Payment by check will be brought to the seminar.

Others Attending:
Please print a copy of this form and submit it with your payment.

Registration Rates

Early Rate Payment or purchase order number received before August 8, 2008		Regular Rate Payment or purchase order number received August 8 - Sept. 14, 2008		Late Rate Payment or purchase order number received after Sept. 14, 2008
Initial Registrant	Each Additional Registrant	Initial Registrant	Each Additional Registrant	Initial Registrant	Each Additional Registrant
$300.00	$250.00	$350.00	$300.00	$400.00	$350.00