Summit REGISTRATION Form

In order to process your registration smoothly and efficiently, kindly provide the information requested on each line of the Summit Registration Form below. For your convenience and assurance and, in keeping with VIID's Privacy Policy, we do not sell, lease, rent or share e-mail addresses or your private information with third parties. Providing the requested information allows us to contact you (or your secretary/assistant) expeditiously with any questions that might arise regarding your registration. You must complete the asterisked entries in order to proceed to the next step in the registration process. Thank you.

Registration Fees
 
You may choose any two of the following three events:
Reception $25
Summit Sessions $60
Luncheon Program $60
 
If you would like to attend all three events, please choose from any one below:
Entire Summit (All 3 Events) $175
*Government Rate (All 3 Events) $150
*Student Rate (All 3 Events) $99

*To receive the Government or Student Rates, fax proof of current government employment or proof of Spring 2008 academic enrollment, respectively, in support of your online registration to 202-541-1519.


Prefix:
* First Name:
* First Name for Badge:
Middle Initial:
* Last Name:
Suffix:

*Employer:
* Position/Title:
* Work Address:
Suite:
* City:
* State:
* Zip:
* Work Phone: () -
Extension:
* Fax: () -
Cell: () -
* E-Mail:

Assistant’s Name:
Assistant’s Phone: () -
Assistant’s E-Mail:

* Home Address:
* City:
* State:
* Zip:
Phone: () -
Fax: () -
Cell: () -
E-Mail:

Billing Information
Click if your billing information is:
     Same as home
     Same as work
     Other

* Billing First Name:
(name on card)
* Billing Last Name: (name on card)
* Billing Street Address:
* Billing City:
* Billing State:
* Billing Zip Code:
* Billing E-mail:

Best Contact Information
Click the best way to contact you is:
     Home
     Work
     Assistant
     Other

* Best Number To Reach Me:
() -
* Best E-Mail To Reach Me:

Special Needs:
(e.g., vision, hearing, dietary, mobility)



** News / announcements **

Sponsorship Levels

Additional Sponsorship Levels

program agenda

Thursday June 26, 2008

Kick off including VIP Welcoming Reception from 6:30 to 8:30 pm at the National Press Club.

Friday, June 27, 2008

All-day deliberative sessions on:

  • Economic Development
  • Education and Youth
  • Governance
  • Health
  • Science and Technology
Contact us

The Virgin Islands Institute of Development
1455 Pennsylvania Avenue, NW
Suite 100
Washington, DC 20004-1001
(p) 202 541 1286
(f) 202 541 1519
(e) viid@viid.org