Registration-FTA Region VII Meeting 2010

Host Organizations

Online Registration

Regular Registration Fee for the conference is: $225. The registration fee includes all sessions, plus:
Lunch on Tuesday and Wednesday
Continental Breakfast on Wednesday and Thursday
All breaks
All conference materials

Cancellation Policy: A full refund of the registration fee will be provided for cancellations received by March 1, 2010. Registration fees for cancellations received after March 1, 2010 will not be refunded.

You can also register by phone by contacting Kristin Kelly at 785-864-2594 or email kbkelly@ku.edu.

Regular registration fee for the conference is $225. Mandatory fields are marked with a *.

*First Name
* Last Name
* Title
* Organization
* Nickname for Badge
* Address 1
Address 2
* City
* State
ZIP Code	* -
* Phone
Fax
* Email

* Registration Type

$225	Regular Registration
$95	One-day Registration
	Day Tuesday Wednesday Thursday

Pre-Conference Training: $35 Yes
	Please Selecct One: NTD Facilities TEAM
Total Registration Fee $
If you have a disability that requires accommodation, please describe:


Will you need a sign language interpreter? Yes No

Will you require meeting materials in an alternative format? Yes No
If yes, do you require Braille Large Print Computer Disk
Will you require accessible transportation service during the conference? Yes No
Organization Type
	Local or Regional Transit Agency
	Local or Regional Human Service Agency
	Local or Regional Planning Agency
	Intercity Bus Company
	State Agency
	Tribal Government
	Federal Agency
	Consultant
	University
	Student
	Industry/Commercial
	Association/Non-Profit
	Other

*Payment Options
Check or money order (payable to KU Transportation Center). Please include a copy of your registration invoice.

Pay by purchase order. Please fax or mail copy of purchase order with registration form.
Purchase Order Number

Mail to: Region VII FTA Meeting, KU Transportation Center, 1530 W. 15th Street - Room #2160, Lawrence, Kansas 66045
Fax to: 785-864-3199
Questions? Contact Kristin Kelly at 785-864-2594 (9 a.m. - 4:30 p.m.)
Total Registration Fee: $

You will receive an automatic email confirmation of registration at the email address you provided to us. If you do not receive this email confirmation, your registration has not been received. Please verify that your email address is correct and fax a printed form to us.

Please look for a second email confirmation within one week verifying your information. If you do not receive this verification, please contact us to be sure you have been registered.