FOSSed Registration 2017
Hi! We're really excited about FOSSed 2017 and we're also excited that you'll be joining us! This registration page is just the start for a great conference! Using this form please provide us with the necessary information to process your registration. For the address section, please enter the address of the entity responsible for payment. If it is the business office of your school or district please use that information....if it is just you personally...please enter your own address. There are two additional options this year with regard to rooms. The Early Arrival Option...arrive Tuesday night before the provided and Single Room Option for those who'd really rather have a single room (as opposed to a double). Single rooms are limited so first come, first serve. Under payment information, please indicate your payment method. If you wish to use a PO please provide the PO #, but if you do not have problem...send it to us once you do. If you wish to pay by credit card, we will send you a secure link that will take you to the page for that secure transaction. If you have any questions...let us know at
Name *
Your answer
School/District/Company/Organization *
What is the name of your school or organization
Your answer
Position/Title/Job *
What's your job title? (this helps us plan the sessions to match certain segments of the population)
If "other" what is your job title?
If you chose "other" in the previous question what would best describe what you do?
Your answer
Billing Entity (ex: Accounts Payable, Bookkeeping)
Please enter the billing entity responsible for payment...if paying personally...skip this one
Your answer
Billing Company (whoever pays the bill, you, your school district or company) *
Enter the person/company responsible for the payment of the invoice
Your answer
Billing Address (Street, PO Box number) *
Please enter the first line of the billing address
Your answer
Billing Address (second line if needed)
(second line if needed)
Your answer
City or Town *
Enter the billing company/person's city or town
Your answer
State/Province *
Enter the state or province (Please use the postal abbreviation such as ME, NH, etc)
Your answer
Zip or Postal Code *
Enter the zip/postal code
Your answer
Country (ex: USA, Canada) *
Enter your country here
Your answer
Telephone/Cell Phone Number *
Please enter your telephone number in case we need to reach you.
Your answer
Email Address *
Please enter your email address so we can contact you.
Your answer
Registration type *
Here you should indicate what type of registration, day participant (lunch/snacks only) or on-campus (all meals and room) or early arrival on-campus (arrive the night before room included)
Do you wish to take advantage of the early arrival option AND/OR single room option? [arrive the night before - room provided / have a single room as opposed to a double (limited singles...first come first serve)]
If you wish to have a room on Tuesday night or a single room please indicate here.
Payment method *
Indicate your payment method here (credit card, purchase order, check)
If you chose PO please indicate the PO number
Please enter the PO # below (if you have it). Do NOT let this keep you from registering, simply send us your PO number when you get it.
Your answer
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