go back

Global City-Regions Conference
 UCLA School of Public Policy and Social Research


    Registration Form  
 
The form below is designed so it can be filled out on your computer. Please complete the entire form before printing a copy to be mailed to the Conference office with your payment. If paying by credit card, the form can be faxed to: 1 + (310) 267-0282 		 

 

  Personal Information
   
Salutation:
First Name,
Middle Initial:
Last name:
Professional Title:
Organization:
Address 1:
Address 2:
Address 3:
City:

State/Province
Postal Code:


US residents: Please use the two-character state abbreviation (e.g. CA).
Country:
If your country is not listed above, please enter it below.
 
Telephone:
Fax:
E-mail:

 

  Registration

Please choose from one of the categories below:
$950: Private sector participants.
$300: Government, non-profit, and academic participants.
  Registration fees include Thursday's reception, lunch and dinner on Friday, and lunch on Saturday.  

 
  Event Choices
         
DAY 1  
Thursday, October 21
         
Opening Ceremonies   3:00 - 3:15 PM
  Plenary Session I   3:15 - 4:30 PM
Reception/Cocktails   5:30 PM
  Conference Keynote Address   6:30 PM
         
DAY 2  
Friday, October 22
         
  Plenary Session II   9 - 10:15 AM
    Three Parallel Sessions   10:45 AM - 12:15 PM
  Panel I    
  Panel II    
  Workshop I    
  Lunch   12:30 - 1:45 PM
  Plenary Session III   2:00 - 3:30 PM
    Three Parallel Sessions   4:00 - 5:30 PM
  Panel 3    
  Panel 4    
  Workshop 2    
  Conference Dinner   7:00 PM
         
DAY 3  
Saturday, October 23
         
  Plenary Session IV   9 - 10:15 AM
    Three Parallel Sessions   10:45 AM- 12:15 PM
  Panel 5    
  Workshop 3    
  Workshop 4    
  Lunch
& Keynote Address		   12:30 - 2:00 PM
    Three Parallel Sessions   2:00 - 3:30 PM
  Panel 6    
  Panel 7    
  Workshop 5    
  Plenary Session V   4:00 - 5:30 PM
  Closing Remarks   5:30 PM

 

  Payment Details
 

If you would prefer to pay by cheque or bank draft please fax or mail your registration application to the address below using this form. A receipt for this transaction will be mailed to the billing address you provide.


 
Select Method of Payment:   Cheque Bank Draft Credit Card
Credit Card Type:  
Amount:  
See Registration Section above for correct amount.

Billing Address: 		 
Name:  


Name as it appears on your card
Card Number:  
xxxx-xxxx-xxxx-xxxx
Expiration Date:  
MM/YY



Signature: 		   
_____________________________________________________________
Please sign your name above after completing the form.



  Refunds and Cancellations
 

Cancellations received by September 21 will receive a refund, less a $25 processing fee. Written notice of cancellation is required. Refunds will not be made after this deadline.

 

Global City-Regions Conference
UCLA School of Public Policy and Social Research
3250 Public Policy Building
Box 951656
Los Angeles, CA 90095 - 1656
Tel: 1 + (310) 794-5477
Fax: 1 + (310) 267-0282
Email: globalcityregions@sppsr.ucla.edu


go back