ASU Lodestar Center for Philanthropy & Nonprofit Innovation

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18th ANNUAL NONPROFIT CONFERENCE REGISTRATION

"From Red to Black: Innovative Thinking for Generating
Income and Resources"
October 14 - 15, 2010

18th Annual Nonprofit Conference
Seating is limited; please register by October 1st at 5pm;
Late Registration October 1st After 5pm

Registration Level	Regular Through Oct. 1, 5 p.m.	Late After Oct. 1, 5 p.m.
General Registration	$198	$220
NMI Certificate Graduate	$178	$198
Current NMI Participant	$178	$198
MNpS Students	$178	$198
AFP Members	$178	$198

Total: $

Required Fields*

Name*:

Title:

Address*:

Address 2 :

City*:

State*:

Zip*:

Phone*:

E-mail*:

Special Accommodations Policy: If you have any special needs, please contact us so that we can do what we can to make our services accessible to you. Please call (602) 496-0500.

How did you hear about the Annual Nonprofit Conference?:

ASU Lodestar Center Web site

ASU Lodestar Center Promotional e-mails

ASU Lodestar Center Nonprofit News (e-newsletter)

ASU Online Calendar

Association of Fundraising Professionals (AFP)

Other Web site | Specify:

Other Promotional e-mail | Specify:

Other | Specify:

Please tell us about your organization:

Organization:

# of full time (or FTE) staff # of board members

Annual operating budget:

< $100K
$1M - $5M

$100K - 500K
> $5M

$500K - $1M

Optional Demographic Information: The following information is requested for evaluation purposes only and will be kept strictly confidential.
I am:
Male	Female
My age is:
18-24 25-34	35-44 45-54	55 & older
My ethnicity is (choose all that apply):
Asian White	African American Hispanic/Latino	American Indian/Alaska Native Native Hawaiian/Pacific Islander Other
I am employed in the following sector:
Nonprofit Private	Government N/A
I am involved with a nonprofit or nonprofits as a:
Executive Director Manager	Board Member Staff Member Volunteer	Other Role N/A
My education level is:
High School Some College	Associate’s Degree Bachelor’s Degree	Master’s/Professional Degree Doctorate
Type of nonprofit(s) I am involved with:
Religious Health Care Educational	Youth/ Human Services Advocacy/Research Association	Arts/Culture/Recreation Foundation/Grantmaking Other

Cancellation and Refund Policy: All cancellation requests must be received in writing, by email: nmi@asu.edu, by fax: (602) 496-0952, or by mail: ASU Lodestar Center for Philanthropy & Nonprofit Innovation, 411 N. Central Ave, Suite 500, Phoenix, AZ 85004-0691. A $25 processing fee will be charged against all refunds. Refunds will be made in the same payment form as original submission. THERE WILL BE NO REFUND FOR ANY CANCELLATION RECEIVED AFTER 5 P.M. THE DAY BEFORE THE CONFERENCE (OCT 13th). THERE WILL BE NO REFUND FOR NO-SHOWS.		Photo Release Policy: By registering for the 2010 Nonprofit Conference on Sustainability Strategies, you grant permission to the Arizona Board of Regents, on behalf of Arizona State University and its agents or employees, to copyright and publish all or any part of photographs and/or motion pictures and/or voice recordings and/or written/spoken statements taken of you for use in university publications, including printed, moving, audio and electronic, all exhibitions, public displays, publications, commercial art, and advertising purposes in any media without limitation or reservation.
Click here to indicate that you agree to the refund policy.		Click here to indicate that you AGREE to the Photo Release Policy. Click here to indicate that you DO NOT agree to the Photo Release Policy.

Please acknowledge the refund policy and click "Submit" to continue with step 3.
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