Registration Form: 2013 Dust or Magic Children's App Design Institute
May 19-21, 2013 • Asilomar Conference Grounds, Pacific Grove, CA

TO REGISTER BY PHONE, CALL 800-993-9499 FROM 9-3PM, MONDAY-FRIDAY
YOU CAN ALSO PRINT THIS PAGE AND FAX IT TO: 908-284-0405

Use this form to reserve one or more seats ($1290 for one seat, $990 for two or more) for AppCamp 2012. You will be sent an email confirmation when your chard is charged and your seat(s) are confirmed. If you are small, meek or broke, click here.
An Asilomar housing form will be sent to you by PDF. Housing costs range from $126.35 per night to $242.40 per night, depending on if you have roommates. A two night stay at Asilomar is required.

 

Name (first/last)*

Title

Company/Organization*

Address1

Address 2


City*

State* Zip*

Country

Phone*

e-Mail*

Your credit card will not be charged until your space has been confirmed. Rates for prior speakers an/or small developers are in yellow, below.


Choose One

Name (first and last), Title, and Shirt size (mens)

One seat, $1290

1. Title Shirt size:

Two seats ($990 each), or $1980

1. Title Shirt size:
2. Title Shirt size:

Three seats ($990 each), or $2970

1. Title Shirt size:
2. Title Shirt size:
3. Title Shirt size:

Four seats ($990 each) or $3960

1. Title Shirt size:
2. Title Shirt size:
3. Title Shirt size:
4. Title Shirt size:

Five Seats, $990 each or $4950

1. Title Shirt size:
2. Title Shirt size:
3. Title Shirt size:
4. Title Shirt size:
5. Title Shirt size:

One seat small developers (must be pre-approved) for members of MWA, SVAK or CMA $880 1. Title Shirt size:
Two seats small developers (must be pre-approved) for members of MWA, SVAK or CMA $1200 1. Title Shirt size:
2. Title Shirt size:
One seat, prior speaker rate, $480 1. Title Shirt size:

I am interested in graduate credit at the Erikson Institute in Chicago

Active Learning Associates, Inc., creators of Dust or Magic, is an accedited provider of Continuing Education Credit (CEU). Participants can get a CEU by attending all sessions and successfully completing a writing assignment. Payment does not mean a passing grade. An additional fee of $100 is charged cover transcript and registration costs.

 

Tuition is 100% refundable up to April 22, 50% refundable from April 23 to May 13, and not refundable after May 14.
Rooms must be cancelled through Asilomar. If the Institute is postponed due to unforeseen circumstances, you will have the option to (1) receive a tuition refund or to (2) reserve a seat for the next proposed date.

Note that your name, title, company, address, phone and email may be published in the conference proceedings along with a brief biography, unless you specify otherwise. We do not release participant information to outside parties.


Questions? Contact Megan Billitti, the Institute Coordinator or call 800-993-9499 (9-2 PM, EST)

PAYMENT INFORMATION

Card Number    Expires (MM/YYYY) Security Code

Your credit card will not be charged until your space has been confirmed.
If the name and address on your credit card are different than above
, please provide your billing information in the space below.
Feel free to add any other additional questions or comments in this space.


We're looking forward to seeing you at Dust or Magic AppCamp!

COMMENTS: If we've made special arrangements for either payment or housing, please let them in this space.

 

Payment Gateway