IBS New York City Conference INTERNET REGISTRATION FORM

IBS 2010 International School/ College Radio/Webcasting Conference
Friday-Saturday-Sunday, March 5-6-7, 2010
FAX your reservation TODAY! (FAX: 845-565-7446) - Check or Credit Card to follow!
To pay by credit card (VISA - MasterCard - Discover) call IBS 1-845-565-0003!
You may REGISTER AND PAY AT THE DOOR (Cash/Check/Credit Card)

At New York's Hotel Pennsylvania
New York City (Hotel Reservations: 1-800-223-8585)

Intercollegiate Broadcasting System (IBS)
367 Windsor Highway
New Windsor, NY 12553 - 7900

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

________________________________________

Please...

Print this form, fill it in and mail with your payment check.
Your registration is not confirmed until we receive your check.

Mail to: IBS, 367 Windsor Highway, New Windsor, NY 12553 - 7900

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:

___ $80/person to December 1, 2009
___ $95/person after December 1, 2009

Non-member stations:

___ $95/person to December 1, 2009
___ $120/person after December 1, 2009

Overall registration fee schedule:
First delegate from each IBS Member Station- FREE
Second through Seventh delegates $80 each ($480 maximum total)
Eighth or greater delegates FREE (included in $480 maximum per station registration)

To be registered for IBS Convo FREE,
delegates MUST be preregistered by name/ title and
have a valid student ID card at registration in NYC
Names and Titles may be changed (updated)
as many times as necessary for FREE
up to and including March 1, 2010, when badges are printed

Our payment check for ___ people in the amount of $__________
is enclosed or has been, or will be, mailed to:
IBS, 367 Windsor Highway, New Windsor, NY 12553-7900

IBS Federal ID for your business office is: 23 705 9805

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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Please print any additional names & titles on a blank
sheet of paper and attach it with your check.

Note: This form DOES NOT cover hotel room reservations.
To make your hotel room reservations, call toll-free:
1-800-223-8585

New York's Hotel Pennsylvania, 401 7th Ave at 33rd St.
New York, NY 10001

Be sure to mention you're with the IBS -
Intercollegiate Broadcasting System convention
to receive our special rates while rooms may still be available.

Hotel reservations should be made by calling 1-800-223-8585
mention IBS Convention for room availability.