2017 VLF Conference Registration Form for March 2nd & 3rd
Please fill out one registration form per participant and include all required information. For questions, contact Victoire Sanborn at vjsanbor@vcu.edu. VLF Conference website: vllc.wordpress.com
Participant Name
Your answer
Title:
Your answer
Organization
Your answer
Email
Your answer
Phone Number
Your answer
Address
Your answer
PAYMENT BY CHECK
Community Based and Faith Based Literacy Organizations
The Virginia Literacy Foundation, which sponsors this conference, offers registration discounts and reimbursements for hotel rooms to the staff and volunteers of nonprofit literacy organizations. Fees are nonrefundable after Friday, February 26.
To calculate costs
Before January 31, 2017
After January 31, 2017
Day of Conference
Payment total per nonprofit registrant and check #
If you are a conference volunteer or presenter, please write this in the text box
Your answer
If check is made out by the organization for more than one registrant...
Include the name of the organization and the total amount of the check and check #. Include a list of names of the staff you are paying for.
Your answer
Other Organizations
Staff of public adult education programs and partner organizations are welcome to attend. However, they do not receive VLF registration discounts. Registration fees are nonrefundable after Friday, February 24, 2017.
To calculate costs
Before January 31, 2017
After January 31, 2017
Day of the conference
Payment total per registrant and check #
If you are a conference volunteer or presenter, please write this in the text box.
Your answer
If the check is made out by the organization for more than one registrant
please include the name of the organization, the names of the participants, and the total amount of the check and check # in the box below
Your answer
MAILING INFORMATION
Please print out your forms for your records before closing out of the site. Forms are automatically saved on the VLF's Google Drive account in an electronic spreadsheet.

Make checks payable to the VLF Conference. Send payment by the due date to:

Rita Layne
c/o Virginia Literacy Foundation
413 Stuart Circle, #303
Richmond, Virginia 23220

Contact Rita Layne at vlilv@earthlink.net to arrange for payments via P.O.S.

Direct ALL other inquiries to:
Ginger Hilleary, Conference Chair, vllcconference@gmail.com
Victoire Sanborn, Literacy Specialist, vjsanbor@vcu.edu

PAYMENT BY PAYPAL
Please fill out the registration form, then make sure to pay via PayPal

Individual payers: follow these instructions when using the VLF's Pay Pal account.
1) Go to the Virginia Literacy Foundation's website, or this link at www.virginialiteracy.org/contribution.html
2) Click on "submit" to enter the PayPal page
3) In description, type in Conference.
4) Type the amount of your payment in item price, then click update. (You do not need to have an account and can pay as a guest.

Please check the appropriate box below.

PayPal Payment type
If you paid with an organization's pay pal account or credit card...
Please list the name of the organization, the payment total, and the names of the organization's registrants in the box below. (Include the names of those who are presenters or are conference volunteers.)This step is IMPORTANT. If you did not pay through PayPal, just type NA.
Your answer
Thank you for registering!
Reminder - registration fees are nonrefundable after Friday, February 24, 2017.
Remember to reserve your own hotel room/s. Information sits on our VLF Conference blog at vllc.wordpress.com
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