2019 McKnight Doctoral Fellowship Program New Fellows' Orientation
Friday-Saturday,
June 21-22, 2019
Tampa Airport Marriott Hotel
Tampa International Airport
Tampa, FL 33607
(813) 879-5751


Conference Registration Form


Please complete this form PRIOR TO May 20, 2019. Without a registration form on file, you will not be considered registered or guaranteed a room. No email responses please. All changes to this registration form must be in writing.
 

Name

University you will attend
as an MDF Fellow

Office Phone

Home Phone

E-mail



New MDF Fellow (No Conference Fee):

Check here if you will attend the meeting. 

Check here if you cannot attend the meeting and need to discuss a conflict in dates (written explanation below is required): 


 


Room Type (All registrants must indicate a room type):

Shared room for Friday, June 21. You must be a New Fellow to select this option.

No room for Friday, June 21.

Single room (You will be responsible for the room rate in the amount of $139.00.  You must provide a credit card upon check-in.  Please register by May 20, 2019, to ensure best hotel accommodations at the FEF discounted rate.


Meals (REQUIRED: Each registrant who intends to attend either of the indicated meal functions must reserve a seat by checking the appropriate box below):

Check here if you will attend the Reception/Dinner on the evening of Friday, June 21.*
 
Check here if you will attend the Luncheon on Saturday, June 22.*
 

 * Cancellations for the Friday, June 21, Reception/Dinner and the Saturday, June 22, Luncheon must be made to FEF in writing by 3:00 PM on Friday, June 14, 2019. The FEF McKnight Program must pay for the cost of your meals if we are not notified by the above date. The cost will be charged to you if the FEF is not notified of cancellation in writing by June 14, 2019.

 


Special Needs:

Vegan diet

Physically challenged.  Describe:

Other Needs:


FREE for New Fellows.
Not a New MDF or JFF Fellow?
(Conference Fee = $68.00):

Your method of payment is due with this registration form by May 20, 2019. 

Credit Card Payment:


To pay the Registration Fee by credit card, please click the PayPal button that will appear once you successfully "Submit" your registration details below.


Check or P.O. Payment:

P.O. #:

To pay by check or p.o., after completing and prior to submitting this form, please print it, and mail it along with your form of payment to The Florida Education Fund, 201 East Kennedy Blvd., Ste. 1525, Tampa, FL 33602.

Make check/p.o. payable to The Florida Education Fund.

  

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