IBS 2012 Columbia College Chicago Radio/Webcasting Conference
Saturday, September 29, 2012
Columbia College Chicago
Host: Barbara Calabrese, Radio Chair, Columbia
College Chicago
33 East Congress,
Chicago, IL
Intercollegiate Broadcasting System, Inc. (IBS)
367 Windsor Highway
New Windsor,
NY 12553-7900
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.
For CREDIT CARD payments
call IBS at 1-845-565-0003
VISA - MasterCard - Discover are accepted by IBS
Advance FAX to 845-565-7446 for quick IBS confirmation.
Return FAX IBS should send confirmation to:
Your registration is not confirmed
until we receive your check or
credit card payment.
Mail to: IBS, 367 Windsor Highway,
New Windsor, NY 12553-7900
(IBS (501c3 – Not for Profit) Federal ID for your business office is: 23-705-9805)
Station/IBS
Member Name/Call Letters:
School Name:
IBS Member Email
Address:
School Address
(Street/Box):
School Address
(City/State/Zip):
Registration fee:
IBS member stations:
___$45 Per person (includes lunch if
pre-registered)
Non-member stations: $95 Per person (includes lunch if
pre-registered)
Our payment check/credit card for $ _________ includes people listed below.
IBS Please print our delegate badges and order lunches for our pre-registered delegates.
Mail check to: IBS, 367 Windsor Highway, New Windsor, NY
12553-7900
To process credit card call: 845-565-0003 24 hours a day.
Please register and print badges for the following people (Please type/print
clearly badges cannot be corrected on site)
Person #1:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #2:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #3:
First Name: ____________________ Last Name: ________________________ Person Title for badge: _______________________________
Person #4:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #5:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #6:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #7:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #8:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #9:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #10:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #11:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #12:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #13:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________
Person #14:
First Name: ____________________ Last Name: ________________________ Person Title for badge:
_______________________________