32nd Annual Pacific Circle Consortium Conference
Saili Matagi – Navigating Winds of Educational Change
Apia, Samoa – June 23rd-27th, 2008
Registration
Title: __ Mr. __ Mrs. __ Miss __ Dr. Other _____________________
First Name: ___________________________________________________________________
Last Name: ___________________________________________________________________
Position: ___________________________________________________________________
Organization: ___________________________________________________________________
Email: ___________________________________________________________________
Mailing Address: ___________________________________________________________________
____________________________________________________________________
City:___________________________________________________________________
State/Province: _____________________________________ Zip/Postal Code: __________
Country:___________________________________________________________________
Registration Fees (in USD)
___Registration through May 5, 2008…………………………………………..…….……………....$375 _______
___Late Registration after May 5, 2008……………………………………………………...............$425 _______
___Onsite Registration…………………………………………………………………………........$450 _______
(Refundable until May 31st less administration fees.)
Additional Ticket and Education Event Fees (in USD)
___ Opening Evening (Guests)……………………………………………..… $20 _______
___ Ticket for Friday educational event………………………Quantity______ x …………… $50 _______
Total payment $70 _______
Payment
___ Cheque, please make cheque payable to “NUS - PCC 2008”
___Telegraphic Transfers – ANZBWSWW 2512665
___Credit Card: Mastercard Visa Mailing Address for Credit Card
Exact Name
on Card:______________________________________ _______________________________________
Exp Date:________________________________________ _______________________________________
Signature:________________________________________ _______________________________________
Full registration includes kava ceremony, cocktail, Peter Price Awards Dinner, journal, PCC Registration, Keynote Speaker,
Papers, Refreshments, School Visits
Please mail to:
PCC 2008Coordinator
c/o NUS Finance
Le Papaigalagala
P.O. Box 1622
Apia
SAMOA
Fax to:
ATTN: FOE PCC 2008
Fax No.(685) 22440 or 20938
Email to:
pcc2008@nus.edu.ws