Online Registration for 2010 Conference
of the American Creativity Association
Creativity in the Gap
March 21 - March 24, Philadelphia, Pennsylvania USA

First Name

Last Name

Position/Title

 Organization

Preferred Mailing Address

City, State/Province, Zip Code, Country
Preferred Phone (include country code, e.g. 1-555-555-5555)
 Fax
Preferred E-mail

Website

Conference Registration:

  • Early Bird (until December 31, 2009)
  • General (January 1, 2010 - March 24, 2010)

  • Presenter (until January 15, 2010)

  • Single Day Registration


  • Registration for Participants Outside of the US -- Use Early Bird rate any time until January 31st
  • Student Discount Registration -- $50 (rate does not include food or beverage)
  • 10% discount for groups of 5 or more (contact info@amcreativityassoc.org)

Sub-Total Due for Conference Registration $

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Workshop Registration:

  • Workshop One Registration

  • Workshop Two Registration

  • Workshop Three Registration


Sub-Total Due for Workshop Registration $

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Membership in American Creativity Association:

  • One Year individual membership in ACA (new or renewal) - $75
  • Two Year individual membership in ACA (new or renewal) - $125
  • Life Time individual membership in ACA - $1000
  • One Year student membership in ACA (must be enrolled in academic program) - $40

Sub-Total Due for ACA Membership $

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Payment:

Total of Above Sub-Totals Due to ACA $

  • Will send check within 10 days for above sum made payable to ACA to American Creativity Association, Goodwin College, 3001 Market Street, Philadelphia, PA 19104 USA Yes No
  • Will pay by credit card (link to Pay Pal in your acknowledgement after you click SUBMIT) Yes No
    Cancellations: If your plans change, you may substitute another person in your place at any time until the conference starts. You may also cancel your registration up to 30 days in advance of the conference start date and receive a full refund, less a $50 processing fee. No refunds of registration payments will be made within 30 days of the conference start date. You may, however, apply the registration fee toward the cost a future ACA conference.

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Anything more you would like conference planners to know? (Please include any special dietary, mobility, visual, or hearing needs you may have.)