Center for African Refugees & Immigrants

African Refugees and Immigrants 60 years after the Refugee Convention:
Challenges and Opportunities

MAY 2 - 4, 2011• HOLIDAY INN ARLINGTON • 4610 NORTH FAIRFAX DRIVE • ARLINGTON, VIRGINIA 22203

CONFERENCE REGISTRATION

Please note that:
          A separate registration must be completed for each participant
          Full and Tuesday registration payments include a ticket for the Annual Banquet
          Single-day attendance requires daily registration payment

Registration Fees

Registration Type	Price
Early Bird (before March 25) Full Registration	$ 250.00
Regular Registration (after March 25) Full Registration	$ 275.00
Single-day Monday Registration	$ 100.00
Single-day Tuseday Registration (banquet ticket included)	$ 150.00
Single-day Wednesday Registration	$ 75.00

Fields with * are required
ATTENDEE INFORMATION

* Title:
* First Name:
* Last Name:
* Organization:
* Position:
* Address:
Address Line 2:
* City:
* State:
* Zip Code:
* Work Phone:
Fax:
* E-mail:
* Confirm E-mail:
Is the registration being completed by the conference attendee?
Yes No
Registration is being completed by:
* Name:
* E-mail:
ORGANIZATION CATEGORY:
Ethnic Community-Based Organization (ECBO)
Voluntary Agency (VOLAG)
Refugee Community Member
Federal Government (Employee)
State Government (Employee)
Service Provider
Student
Other
If Other
FULL REGISTRATION: Monday through Wednesday, May 2-4 SINGLE DAY RATES: Monday, May 2 Tuesday, May 3 (banquet ticket is included) Wednesday, May 4 To register additional guests for the banquet only, please click on the Annual Banquet link on top of the page.

* MEAL PREFERENCE: Regular Vegetarian

CAPITOL HILL VISIT
* I am interested in the Capitol Hill congressional visits and want to be assigned to a group ahead of time.
Yes No
* I will make an appointment ahead of time and notify ECDC after securing an appointment.
Yes No

WOULD YOU LIKE TO REGISTER ANOTHER PARTICIPANT?
Yes, add new participants No, continue with payment

Number of Raffle tickets: Ticket Price $ 10.00

Grand Prize: One round trip ticket to one of 35 destinations in Africa courtesy of Ethiopian Airlines. Prize ticket does NOT include all taxes and fees. All proceeds will support ECDC programs.

CANCELLATION POLICY: All cancellations will be assessed a $75.00 administrative fee. Cancellations must be made in writing and received before April 15, 2011. No refunds will be made after April 15, 2011.

PAYMENT OPTIONS:
Please select one option.
Onsite Payment
Check or money order (make payable to ECDC)
Pay online with a credit card (online payments are recommended and preferred.) Click on the Paypal
button on the next page

If you are paying by check or money order, please print and attach these pages before mailing them to us at the following address.

Ethiopian Community Development Council
Attn: Accounting Department
901 S. Highland Street
Arlington, VA 22204

Thank you for your time!