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Registration: Multiple Registrations

Note: This form should only be used if you are signing up multiple people and using the same credit card to pay for all fees. To register instead as an individual, go here.


Organization/Company Information

Organization/Company Name:
Mailing Address:
City:
State:
ZIP:
Your E-mail:
In case we need to contact you. You will also receive a receipt at this e-mail address.

Registration   See pricing plans (opens in new window)

Please Note:
— You may register up to 10 people at a time with this form. (If you have fewer than 10, leave the remaining fields blank.)
— Please feel free to use this form as many times as needed if you need to register more.
— A unique email address and phone number must be used for each person.
— Registrants marked as members (with an accompanying membership number) will receive the membership rate, while those not designated as members will receive the non-membership rate. At least one membership number – for SPJ or RTDNA – is required for each registrant in order for that registrant to receive the membership rate.


Registrant #1   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #2   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #3   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #4   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #5   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #6   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #7   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #8   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #9   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Registrant #10   See pricing plans (opens in new window)

Name:

Title (if applicable):
Phone:
E-mail:
Does this person have buying power in his or her newsroom?
Yes No
To the best of your knowledge, is this person currently exploring employment opportunities?
Yes No
This person currently is a:
Professional Member of SPJ and/or RTDNA
Professional Non-Member
Student Member of SPJ and/or RTDNA
Student Non-Member
Retired
This person currently is a member of:
Check all that apply. Please note that you must supply at least one membership number immediately below to receive the membership rate.
SPJ
RTDNA
SPJ Member Number (if applicable):
RTDNA Member Number (if applicable):
Meal Tickets for this person:
RTDNA Paul White Award Reception: x $45 per ticket
SPJ President's Installation Banquet: x $80 per ticket

Donations

Radio and Television Digital News Foundation: Make a tax-deductible contribution to the foundation of RTDNA, the Radio and Television Digital News Foundation. RTDNF’s programs are supported entirely by charitable contributions. Your conference badge will carry a distinctive gold RTDNF ribbon.

RTDNF Donation:
$

Society of Professional Journalists: Make a tax-deductible contribution to the foundation of SPJ, the Sigma Delta Chi Foundation. The SDX Foundation provides educational grants to SPJ and other worthwhile journalism programs. Your conference badge will display a black SDX Contributor ribbon.

SDX Foundation Donation:
$

Method of Payment

Credit Card Type:
MasterCard
American Express
Visa
Credit Card Number:
(Enter without spaces)
Credit card security code:
Three or four digits, on the back of the card
Expiration date (MM/YY):
Name as appears on card:
Cardholder's e-mail:

Cancellation Policy: All refund requests must be made in writing to hdunn@spj.org. No requests made by telephone will be accepted. Cancellation requests made before August 20 are subject to a $50 processing fee. No refunds will be made after August 20.

Complete this form and click the "Continue" button to review your selections and see the total amount due.


Questions about the Excellence in Journalism 2014 Conference?

Call 317/927-8000 or send an e-mail to convention@spj.org.

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