Offsite Workshop Registration Form

Registration Information

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Registration Form
Fees
ADA Accommodations
Location
Hotel Accommodations

Fees

Florida Resident = $0

Non-resident of FL attending workshop only (Dec 5) = $100

Non-resident of FL attending Summit (Dec 6-7) = included in Summit registration

Non-residents of FL attending the workshop only - please make check payable to "University of South Florida" (sorry, no credit card payments accepted) and mail with a copy of this online form by November 19, 2007 to:

University of South Florida

ATTN: Cashier's Office

4202 E. Fowler Ave. ADM147

Tampa, FL 33620

If you are planning to attend the Summit, please submit this online registration form but follow payment instructions for Summit registration.

Payment must be received prior to or at time of attendance.

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ADA Accommodations

Persons with a documented disability requesting reasonable accommodations should contact Sue LoBianco at (813) 974-6898 at least ten (10) working days prior to the program to make arrangements. Persons with hearing or speech impairments should contact the Division via the Florida Dual Party Relay System, 1-800-955-8770 (voice) or 1-800-955-8771 (TDD).

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Location

Pelican Grand Beach Resort

2000 N. Ocean Blvd.

Ft. Lauderdale, FL 33305

Phone: (954) 568-9431 or (800) 525-OCEAN

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Hotel Accommodations

Attendees are being given a special discounted rate of $126.00/night (subject to availability). Call (954) 568-9431 or (800) 525-OCEAN for reservations and identify yourself as part of the Florida Commuter Choice Summit group or click here for link to secure online hotel reservations to get the discounted rate. Hotel reservations are due by October 31, 2007, or rooms will be subject to availability and potential rate increase. Choice of rooms are at the hotel's discretion (run-of-the-house) so book early to ensure the best accommodation. To extend room and rate by up to 3 days pre- and post-group dates (based on availability), contact Jaci Lantz at (954) 568-9431 or (800) 525-OCEAN.

Click here for directions. Airport cab fare (one-way) is approximately $25.00 plus tip. Parking at the resort is $8 per day or $12 day and overnight.

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Registration Form

Please complete the following and submit or print then fax:

Check the event you will attend:

December 5, 2007 - Winning with the Media

Please add me to your mailing list for future course announcements made via email

Please add me to your mailing list for future course announcements made via regular mail.

Name

Title

Organization

Street Address

Address (cont.)

City

State

(Florida residents receive priority)

Zip/Postal Code

Day Time Phone

FAX

E-mail

URL

Will you request accommodation of a disability?

Yes No

Accommodation Requested

Return registration form to:
Sue LoBianco, Center for Urban Transportation Research, University of South Florida, 4202 E Fowler Ave, CUT100, Tampa, FL 33620-5375; fax 813-974-5168.

Please direct questions about the content to Phil Winters at winters@cutr.usf.edu

You may submit this online form to make a reservation