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Registration

Directions

  1. In order to serve you better, please fill out this form completely. The fields preceded by an asterisk are mandatory. The form cannot be submitted with any of these mandatory fields left blank.
  2. Click on the "Send Registration" button at the bottom of the form to submit your registration to ASQ Headquarters.
  3. A summary screen with all of the options you selected will appear after you click the Submit button. You should print a copy of this screen for your records.
  4. Your registration (whether phoned, faxed, mailed in, or completed online) will be confirmed by mail with a receipt confirmation letter. Please do not follow up online registration with a phone or fax registration. We will make every effort to process your registration within two business days; however, unexpected delays may increase the processing time.

* Fields required to submit online registration.

PERSONAL INFORMATION
Title:  
* First name:  
* Last Name:  
* Badge name (Nickname):  
Job Title:  
Company/Affiliation:  
* Preferred Mailing Address: Home   Business  
* Street Address:  
   
 
* City:  
* State/Province:  
Indicate "NA" if state and/or postal code are not applicable.
 
* Zip/Postal Code:  
* Country:  
* Phone Type: Home Business Cell  
* Telephone Number:  
* E-mail Address:  
* Please Re-enter E-mail Address:  


SELECT REGISTRATION*

Conference Registration
Includes breakfast daily, lunch for 2 days, and the Tuesday evening reception. Does not include pre-conference workshops.

TYPE
Advance Conference Fee
by March 7, 2011
Regular Conference Fee
 
Individual
$1,120.00
$1,270.00
One Day Registration - Select Day:
   $520.00
   $520.00
Shared Registration**
      (provide names below — *required if selected)
$1,120.00
$1,270.00
2010 Baldrige National Examiner***
$1,020.00
$1,170.00
Faculty***
   $795.00
   $945.00
Group Discount (5+)***
      (provide names below — *required if selected)
$1,020.00
$1,170.00
No Conference Registration
      (Select "Workshop Only" option below — *required if selected)


*Shared Registration
**Only Individual registrations are eligible for the shared registration. If you are in the DC area but can’t attend the conference for all 3 days, your registration can be transferable daily. A person attending one day can leave his/her badge holder at the end of the day with the Registration Desk for a pre-registered colleague to pick up his/her own badge the next morning. Please provide the names of others who will share your registration — Up to 2 more names.

*Group, Faculty, and Examiner Discount (5+)
***Groups of 5 or more receive a $100 discount per registrant off the advance or regular registration fee. Registrations must be made as a group. The full conference fee will be charged if cancellations reduce the group to fewer than 5 people. Substitutions may be made at any time. Full-time academic employees are eligible for discounted fees of $795 (advance) or $945 (regular). A $100 discount is also available to members of the 2010 National Baldrige Program Examiners. The faculty and examiner discounts cannot be combined with any other discounts. Please enter the names and contact information of all the group members in the text box below for price validation and matching purposes.

Although you are providing the names and contact information for each member of your group, a separate registration form needs to be submitted for each person.