INPAC 2017 REGISTRATION
RequiredRequired Question(s)
Thank you for your interest in attending the Indiana Non-Public Administrators' Conference, September 25-26th, 2017, at the Renaissance Hotel North!

To register, complete this online form and submit your payment.

Or download the PDF Registration Form from our website and submit payment.

Call 317-236-7329 or email Belinda at bbetton@inpea.org with questions.
 
Required
I would like to register for the 2017 Indiana Non-Public Administrators' Conference:

First Name:
Last Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Position:
School Name:

Required
Select your Registration Option:

Full Conference includes Monday, Monday Dinner and Tuesday.
Full Conference - $325 per person for the first 2 registrants (1st-2nd from the same school)
One day only - $250 per person (Monday-includes Pre-conference and dinner, or Tuesday)
Full Conference - $275 per person (for the next additional registrants 3rd+ from the same school)
Early Learning Pre-Conference only - $75 per person
I am a Conference Sponsor.
Required

Please select your food options below

I will be attending Monday night dinner (included in full conference price and one day only conference price)
I have a dietary restriction. Please detail in the comments below.
  • Comment:

  • 500 characters left.
Required
Select Registration Payment:
I will mail a check payable to INPEA. Please print a copy of this page NOW and include with payment.
Please email me an invoice.
I will use a Credit Card. On the next page, you will follow a link to our INPEA PayPal site.