Your Information

First Name

Middle

Last Name

Title

Institution

Address

City

State

Zip

Daytime Phone

Email

Registration Packages

The Presidential Package includes two nights accomodation in campus housing; Saturday night welcome

reception and dinner; Sunday breakfast, lunch, dinner, and breaks; Monday breakfast; all workshop

sessions and materials.  $700

The Leadership Package includes all of the above except overnight accommodations.  You may make your

own hotel reservations and transportation arrangements.  $625

Please select one package:

The Presidential Package - $700  The Leadership Package - $625

Please indicate any special housing or dietary needs

Transportation

Wells College provides airport shuttle service to and from Ithaca, Syracuse and Rochester.  Payment may

be made to the van driver upon pickup in cash or check payable to Wells College; No credit cards.

Please indicate below what your transportation needs are.

Select this box if you don't need van service from an airport.  Otherwise, fill out the information below.

The following van services are available

Ithaca: 30 Minutes; $30 one way

Syracuse: 60 minutes; $60 one way

Rochester: 75 Minutes; $60 one way

Van Charge

Airport

Date

Time

AM/PM

Airline

Flight #

(please enter)

Arrive

Depart

Symposium Package

Van Charges (if any)

Total (This amount will be charged to your card)