eLearning 2012 Registration Form

February 18 - 21, 2012
Long Beach, California
The Westin Long Beach



Please call Amy Weinfurter at 202/293-3132 or e-mail aweinfurter@itcnetwork.org if you have any questions about your eLearning 2012 registration

eLearning 2012 Registration Form

Registrant Info

*required fields
First Name: * Last Name: *
Title: * Organization: *
Address: * City: *
State/Province: * Zip/Postal Code: *
Country: * Badge Name: *
Phone: * Fax:
Email: *    

Registration Fees

Basic Registration Fee --
(meals include: reception on Saturday evening, lunch on Sunday and Monday, Brunch on Tuesday) -- $525		  
Early Bird Discount- available before Saturday, January 14, 2012 -- $50    
ITC Member Discount -- join today and receive a $50 discount and one year of ITC membership benefits!  
Presenter Discount -- $25  
One-Day Registration (no discounts apply) -- $250  

Pre-conference Workshops

Saturday, Feb. 18, 2012 -- Registration Fee $75 for one, $140 for two, Includes a box lunch.
Class descriptions are available on ITC's Web site
Morning Sessions: 7:30am - 1:15pm
The pre-conference workshop "Designing High-Quality Online Courses for Student Success" has sold out.
Please Check No More Than One From This Column
Afternoon Sessions: 10:00am - 3:45pm
The pre-conference workshop "The First-Semester Experience for eLearners" has sold out
Please Check No More Than One From This Column

Additional Conference Selections

Additional Awards Luncheon Tickets

Monday, February 20, 2012
Lunch is included in your registration fee, but please type the name of any additional guests you would like to bring here:
$35 per person
Number of guests
Tour of the Queen Mary Ocean Liner
Monday, February 20, 2012, meet at 5:00 pm
$20 per ticket		 Number of tickets
Special Request/Accommodation
 I require special meals.
I require special accommodation.
Please contact me for more details  

Submit your order (please read cancellation information below before submitting)

Cancellations received in writing before February 3, 2012 will be issued a full refund, less a $50 processing fee. Registrants who do not cancel before February 3, 2012 are liable for the full conference registration fee. No refunds will be given for cancellations after February 3, 2012.

ITC Logo eLearning 2012 is sponsored by the Instructional Technology Council, ITC, an affiliated council of the American Association of Community Colleges. ITC, provides exceptional leadership and professional development to its network of elearning specialists by advocating, collaborating, researching and sharing exemplary, innovative practices and potential in learning technologies. Coastline Community College is the host organization for eLearning 2012.
Call 202/293-3132 for more information or to be included on the conference mailing list!