INTERNET REGISTRATION FORM - Walk In Registration is OK!
Pay by major credit card (VISA-MasterCard-Discover)

Your benefit of pre-registration is badges will be ready at registration,

and FREE lunch is included for preregistrations.

Food can be pre-ordered.

IBS 2011 Boston Radio & Webcasting Conference

Saturday, November 17, 2012

Simmons College

Host: Len Mailloux, M. Ed., Chair - IBS Board of Directors

2 Avenue Louis Pasteur

Boston, MA 02115

e-mail: mailloux2@cox.net

Intercollegiate Broadcasting System (IBS)

367 Windsor Highway

New Windsor, NY 12553-7900

Phone: 845 565-0003 FAX: 845-565-7446 email: IBSHQ@aol.com

________________________________________

Please...

Print this form, fill it in and mail with your payment check.
Or pay by major credit card (VISA-MasterCard-Discover)
to pay by credit card call IBS 1-845-565-0003!

(Advance FAX to 845-565-7446 for quick confirmation.

Return FAX IBS should send confirmation to: _________________________)

Registration is $45 per person, including breakfast, lunch, and sessions
Your registration is not confirmed until we receive your check.

Mail to: IBS, 367 Windsor Highway, New Windsor, NY 12553-7900
(IBS Federal ID for your business office is: 23-705-9805)

Station Name/Call Letters:___________________________________________

School Name:_____________________________________________________

Station email address: _____________________

Station mailing address: __________________________ State: _______ Zip ________

Registration fee:

IBS member stations and High School Students: ___ $45 per person

Non-member stations: ___ $95 per person

Our payment check for _____ people in the amount of $______________
is enclosed or has been, or will be sent to:
Mail to: IBS, 367 Windsor Highway, New Windsor, NY 12553-7900

Please register the following people (please print clearly):

Person #1