2019 PAIU Conference Registration


Attendee Name*

First Name

Last Name


Intermediate Unit*

Affiliation*


Please indicate the job-alike group with which you participate*




Job Title*


Email Address* (A valid IU email address is required in order to complete conference registration)


Phone Number*


Cell Phone Number


*** IU 21 will be offering Act 48 credit for participation in the 2019 PAIU Conference. If you are interested in receiving Act 48 credit, please enter and confirm your PPID ***

PPID

Confirm PPID


Registration Options*






Do you need any special accommodations?


*The registration fee includes a 2019 PAIU Conference "unisex" t-shirt. Please select your t-shirt size:
A 2019 PAIU Conference “unisex” t-shirt will be provided only for Conference registrations received by May 1, 2019.

A registered conference attendee may, upon written request, receive a full refund of a paid registration fee as long as the request is received by the PAIU office by May 10, 2019. No refunds will be granted for requests received AFTER May 10, 2019, since PAIU becomes liable for food and beverage costs after guaranteed counts (based on the number of registered attendees) are provided to the venue. NO SHOWS THAT HAVE REGISTERED BUT HAVE NOT PAID ARE STILL LIABLE FOR THE REGISTRATION FEE. A REGISTERED ATTENDEE WHO DOES NOT CANCEL IS STILL LIABLE FOR THE REGISTRATION FEE. The registration fee includes all educational sessions and materials, and the meals listed. It does NOT cover lodging or travel expenses.