INTERNET REGISTRATION FORM-Walk In Registration is OK!

IBS California School/College Radio/Webcasting Conference
Saturday, December 6, 2008, Claremont, CA

Webb Schools of California (KWEB Radio)
Host: The Webb Schools and KWEB Radio/Webcasting
1175 West Baseline Road
Claremont, CA 91711

Intercollegiate Broadcasting System (IBS)
367 Windsor Highway
New Windsor, NY 12553-7900
(Tax ID: 23-705-9805)

Phone: 845 565-0003
FAX: 845-565-7446
email: IBSHQ@aol.com

________________________________________

Please...

Print this form, fill it in and mail with your payment check.
Registration is $25 per person, including breakfast, lunch and sessions
Your registration is not confirmed until we receive your check.

Mail to: IBS, 367 Windsor Highway, New Windsor, NY 12553
(IBS Federal ID for your business office is: 23-705-9805)

Station Call Letters:____________________

School Name:__________________________

Station Phone: ______ _______________

Station FAX: ______ _______________

Station email address: _____________________

Station mailing address: _________________________

City: ______________________

State: ________ Zip: _________

Registration fee:

IBS member stations, IBS Professional Associates and High School Students:

___ $25/person

Non-member stations:

___ $45/person

Our payment check for ___ people in the amount of $__________
is enclosed or has been, or will be,
Mail to: IBS, 367 Windsor Highway, New Windsor, NY 12553

Please register the following people (please print clearly):

Person #1

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #2

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #3

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #4

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #5

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #6

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #7

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #8

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #9

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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Person #10

First Name:_________________ Last Name: ___________________

Person's Station Job Title for Badge: _________________________

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