State Conference Registration

OHIO COMMUNITY THEATRE ASSOCIATION 2009 OCTA CONFERENCE REGISTRATION FORM - (September 4-7, 2009) “Yo-Ho-Ho on the Ohio!” (Please use one form per person and type or print the information)

NAME:

NAME FOR BADGE:

ADDRESS:

E-MAIL:

CITY, STATE, ZIP: PHONE: (

)

THEATRE AFFILIATION:

I receive the OCTA Newsletter “CUELINES”: Yes No This is my first State OCTA Conference: Yes I will be my theatre’s voting delegate at the Annual Meeting on Sunday to elect new Board Members: Yes

No No

CANCELLATION and RETURNED CHECK POLICY Registration refund, minus a $10.00 administration charge, will be made for cancellations received on or before August 15, 2009. NO REFUNDS will be made for cancellations after August 15, 2009. Refunds will be mailed after the close of the conference. NO EXCEPTIONS TO THE FEATURED REGISTRATION PACKAGE. ANY REGISTRATIONS POSTMARKED AFTER AUGUST 15 WILL NOT BE PROCESSED - AT DOOR REGISTRATION WILL BE THE ONLY OPTION. Registration rate is determined by POSTMARK DATE. Registrations not postmarked before the two deadline dates will be billed at the next rate. A $20.00 fee will be charged for all returned checks. • • • • •

NON-CAST/CREW REGISTRATION FORM PRE-REGISTRATION COMPLETE - EARLY BIRD PRIOR TO AUGUST 8 (includes 2 meals, excerpts, regular workshops & entertainment) PRE-REGISTRATION COMPLETE - AFTER AUGUST 8 UNTIL AUGUST 15 (includes 2 meals, excerpts, regular workshops & entertainment) PRE-REGISTRATION-DAILY (one day of excerpts, regular workshops - attendance only) I’m coming - SAT AFTER AUGUST 15 REGISTRANTS MUST PAY AT THE DOOR (includes excerpts, regular workshops & entertainment only—no meals) AT THE DOOR SAT OR SUN DAILY REGISTRATION (includes excerpts and regular workshops only)

$95.00 $115.00 SUN

$55.00 $115.00 $60.00

Logo ordering and payment deadline is August 15, 2009. Please circle size: Conference T-Shirt Sizes: S M L XL $13 XXL

$15

3X

$17

4X

$19

5X

$21 SUB TOTAL

INDIVIDUAL MEMBERSHIP - 10% DISCOUNT (Individual Membership Card Number =

)

OPTION - OCTA PATRON DONATION ($5.00 of donation is used for “Cuelines” balance is tax deductible) GRAND TOTAL The hotel is wheelchair accessible. Deadline to request the following services is August 15, 2009: Sign language interpreter audio description large print program EASTGATE HOLIDAY INN, 4501 Eastgate Blvd, Cincinnati, OH 45245—Room reservation deadline is August 15, 2009. PHONE: 1-800-465-4329 or use Holiday Inn Find-A-Hotel at www.holidayinn.com ROOM RATE: $84.00 + 12.5% tax Make Checks payable to OCTA. Mail this form and check to: Linda Roll, OCTA Conference Chair 5775 Tall Oaks Dr Milford, OH 45150-2557

CREDIT CARD INFORMATION: Visa Mastercard Card Number: Expiration Date: Signature: