GLO Fall 2013 Berkeley Registration Form
DATE: September 27th (Friday) - September 29th (Sunday)

LOCATION: The University of California, Berkeley

REGISTRATION DEADLINES
- Early Registration: August 25
- Pre-Registration: September 8
- Regular Registration: September 25

*PLEASE NOTE: Registering now does not hold you to any obligations, payment or otherwise. You will receive the pricing option designated for your registration period if you are accepted and decide to attend. Please complete the following registration form with as much detail as possible. We will notify you via email if you have been accepted to the conference.

PRICE
(Early / Pre / Regular)
Students: $80 / $90 / $100
Professionals: $100 / $115 / $130

PROMOTIONAL DISCOUNT: We are happy to offer a 10% discount on your registration payment if you "Like" our Facebook page. We will verify that you have liked our page and send you the adjusted payment option at the time of your acceptance. Like the Facebook page at: https://www.facebook.com/pages/GLO-Leadership-Conference/117271055085020

ADMISSIONS NOTE
We utilize a prioritization system for admissions; registration does not guarantee acceptance. The registration list will be reviewed with our prioritization system before the payment link is sent out. This inaugural conference has a high demand and will have a hard cap of 75 people, so be sure to register early!

More information about the conference here: http://wearegloballeaders.com/wp/
Please contact Assistant Director, Kristina Lin, at kristina.lin@wearegloballeaders.com with any questions.
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Registrant Information
First Name *
Last Name *
Birthdate *
MM/DD/YYYY
Gender *
Student or Young Professional *
E-mail Address *
Cell Phone # *
Mailing Address *
City *
State *
Zip Code *
Involvement
List all of your involvement and/or position(s) in any clubs or organizations. *
.e., Officer of a club/organization, cabinet of a club/organization, club/organization member
University Information - Students Only
College or University
*Required for Students
Year
*Required for Students
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Other Information
How did you hear about the Fall 2013 GLO Leadership Conference at Berkeley? *
Check all that apply
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