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"Tapping Worker Potential Through Technology" - National Conference of the President's Committee on Employment of People with Disabilities

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Registration

Please send the completed form with payment by April 20, 1998 to:

The USDA Graduate School
600 Maryland Avenue, SW
Conference Management Office (PCEPD)
Washington, DC 20024
(202) 314-3490 (voice/TTY)
(202) 479-6801 (fax)

Confirmations and badges will be mailed to those who register before April 20. After April 20, you must register on site and the fee will be $135. To avoid long lines at the Conference, and to receive a $10 discount, please register in advance.

Cancellations must be made by April 20, 1998. Refunds will not be issued after April 20. Badges not received by mail can he picked up on site at the Registration Booth.

Employment Fair (May 8)

If you are an employer interested in information on purchasing a booth at the Employment Fair, you may contact Fox Productions, Inc., at (248) 656-1700 (voice) or (248) 656-2058 (fax), or via e-mail at foxprodinc@aol.com.

If you are a person with a disability interested in participating as a job candidate in the Employment Fair, you may contact Carol Dunlap at the President's Committee at (202) 376-6200 x37 (voice); (202) 376-6205 (TTY); (202) 376-6868 (fax), or via e-mail at cdunlap@pcepd.gov. Please include your mailing address.

Accessibility Assistance

Sign language interpreters will be on site during the entire Conference (May 6 - 7) and the Employment Fair (May 8). If you are deaf or hard of hearing, please help us maximize our use of interpreter services by indicating below in what form you prefer to receive communication (choose one)

_____ ASL Interpreting
_____ PSE Transliteration
_____ Oral Interpreting
_____ Tactile Interpreting

If you will be bringing a personal assistant (e.g. attendant, facilitator, interpreter, etc.), please list his or her name so that a name badge can be prepared. The registration fee will be waived for this person.

Name of Attendant ________________________________________

NATIONAL CONFERENCE OF THE PRESIDENT'S COMMITTEE ON EMPLOYMENT OF PEOPLE WITH DISABILITIES

__________________________________________________
Name/Nickname (as you would like it to appear on your badge)

__________________________________________________
First Name.....Middle Name.....Last Name.....Title

__________________________________________________
Company/Agency

__________________________________________________
Address

__________________________________________________
City.....State.....Zip Code

__________________________________________________
Office Phone.....Office Fax.....E-Mail Address

Conference Pre-registration by mail (deadline April 20)......$125.
$__________

Form of Payment:
_____ Training authorization form/P.O.**
_____ Check attached (made payable to USDA Graduate School)
Credit card:
_____ Visa
_____ MasterCard
_____ Diners Club
_____ American Express
Account Number ____________________ Expiration Date __________

Signature _______________________________

No refunds will be made after April 20, 1998.

**Government employees using purchase orders/training authorizations: Please attach this registration form to three (3) copies of your P.O. or training authorization form and return to the Graduate School. Be sure the registration fee is specified on the training form.