Sixth NEBRASKA SUMMIT ON DISTANCE EDUCATION & TELEHEALTH
June 5-6, 2007
College Park 3180 West U.S. Highway 34 Grand Island, NE 68801
NAME: TITLE: ORGANIZATION: STREET: P. O. BOX: CITY: STATE: ZIP: PHONE: EMAIL: REGISTRATION FEES: Registration includes Tuesday & Wednesday conference, events & meals, including dinner at Plum Creek Station & one year membership in NDLA... For information on motel accommodations, call the Downtown Holiday Inn and be sure to tell them you are with the "Nebraska Distance Learning Conference." The phone number is 308-384-1330 or 1-800-465-4329. Before June 1st: $60 $ After June 1st: $70 $ I plan to attend the dinner at Plum Creek Station on Tuesday evening, June 5, 2007 (included in registration). Please add extra reservation/s for Tues. evening meal @ $10 per person $ TOTAL ENCLOSED: $ PAYMENT OPTIONS: Please make Check or Purchase Order payable to NDLA and mail completed Form & Check or P.O. to: NDLA Attn: Patricia S. Hoffman.. Video Services Facilitator Information Technology Services 985170 Nebraska Medical Center Omaha, NE 68198-5170 For questions: Telephone: 402-559-7609 'See you in Grand Island on June 5-6!
NAME:
TITLE:
ORGANIZATION:
STREET:
P. O. BOX:
CITY:
STATE:
ZIP:
PHONE:
EMAIL:
REGISTRATION FEES:
Registration includes Tuesday & Wednesday conference, events & meals, including dinner at Plum Creek Station & one year membership in NDLA...
For information on motel accommodations, call the Downtown Holiday Inn and be sure to tell them you are with the "Nebraska Distance Learning Conference." The phone number is 308-384-1330 or 1-800-465-4329.
Before June 1st: $60
$
After June 1st: $70
I plan to attend the dinner at Plum Creek Station on Tuesday evening, June 5, 2007 (included in registration).
Please add extra reservation/s for Tues. evening meal @ $10 per person $
TOTAL ENCLOSED:
PAYMENT OPTIONS:
Please make Check or Purchase Order payable to NDLA and mail completed Form & Check or P.O. to:
NDLA Attn: Patricia S. Hoffman.. Video Services Facilitator Information Technology Services 985170 Nebraska Medical Center Omaha, NE 68198-5170
For questions: Telephone: 402-559-7609