AJCU :: Creighton University

Section I: Participant Information

Name:

*

Position:

*

College/University:

*

Phone (with Area Code):

*

E-Mail Address:

*

Do you have a physical handicap or disability that may require special provisions? If yes, please indicate:

Section II: Pre-Conference Registration

Check All That Apply:

I will attend the Pre-Conference Session "Marketing Adult and Continuing Education Programs" on Thursday, October 18, 8:45 - 11:45 a.m.

I will attend dinner at Vivace's Restaurant Wednesday evening, October 17, 6:00 p.m. (additional $30)

Section III: Conference Luncheon Selection

Please list any dietary restrictions:

Thursday Lunch Choice (pick one):

*

Albuquerque Chicken - chicken sandwich with a southwestern flair

Sweet Beef - sliced roast beef with carmelized onions and Dijon mayonnaise on baguette

Italian Panini - salami, ham, provolone, roasted red peppers served on a French roll with garlic mayonnaise

Grilled Vegetable Baguette - grilled vegetables with fontina cheese on baguette

Friday Lunch Choice (pick one):

*

Steak au poive

Chicken piccata

Ravioli with porcini/morel stuffing in plum tomato sauce

Section IV: Accomodations

Hotel accomodations will need to be made separately from conference registration. Please use the links on the left to connect to the Embassy Suites Hotel information.

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