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2012 Annual Conference On-Line Registration Form (District/COE)

By Shelly Tillery

Small School Districts’ Association 

29th Annual Conference 

March 28 – 30, 2012

Woodlake Hotel (formally known as The Radisson Hotel)

500 Leisure Lane, Sacramento CA  95815

Name  
(As you would like it to appear on your name badge) 

Note: For each additional attendee from your District, please use the "comment" section at the bottom of this form.

District 

Address

City                                   Zip   

Phone                                         Fax  
Email Address  
2012 ANNUAL CONFERENCE REGISTRATION RATES:

 Full Conference Rates Include:
 

General Sessions, Workshops & Meals

 Single Day Rates:
 

Can't attend the entire Conference?  

  Member

 

Non 

Member

 

 

 

 

  Member

 

Non 

Member

 

1st Attendee $475 $630  

Wednesday,

March 28, 2012

$150 $300
2nd Attendee $425 $630  

Thursday,

March 29, 2012

$275 $550
3rd Attendee $375 $630  

Friday,

March 30, 2012

$150 $300
4th Attendee $325 $630  

Friday,

March 30, 2012

$150 $300
5th Attendee FREE $630   Meal or Reception Only $45 $90
6th Attendee $325 $630        
Retired Superintendent                  $275

HOTEL ACCOMMODATIONS

SSDA has made arrangements with The Woodlake Hotel  for the following special room rates: 

$84.00 single occupancy, $104.00 double occupancy and $124.00 triple/quad occupancy 

Check-in time is 4:00 p.m. and check-out time is 12:00 p.m.

Depending on availability at the time of check in, waterfront rooms may be guaranteed for an additional $30.00 per room, per night.

Please contact The Woodlake Hotel at (855) 922-5252 by March 5, 2012. BE SURE TO ASK FOR THE GROUP RATE FOR THE SMALL SCHOOL DISTRICTS’ ASSOCIATION ANNUAL CONFERENCE. 

Please note: The Woodlake Hotel does not accept purchase orders as a method for reserving your room.

Please call the SSDA Office at (916) 444-9335 for more information. 

You must make your own room reservation prior to March 5, 2012 to receive the reduced room rate.

CANCELLATION POLICY
Cancellations must be received in writing

By Monday, February 13, 2012

Full refund 

February 13 - March 1, 2012

$100.00 Cancellation fee 

After March 1, 2012

No refund

Notice of cancellation must be written and sent to:
 

SSDA Annual Conference - Cancellations
455 Capitol Mall, Suite 315
Sacramento, CA 95814

Fax - (916) 441-4851

 

*There will be no refunds for cancellations received after March 1, 2012, or for "No Shows" due to pre-payments that SSDA made to it's vendors and suppliers.

P.O. # Credit Card   Visa MasterCard AMEX
Billable Amount:$ Standard One-Day Rate Two-Day Rate
Credit Card # Exp. Date
Billing Address:
Date:  
Please PRINT name as it appears on card:

 

Comment:

   

 

 
 

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