Intercollegiate Broadcasting System (IBS)
367 Windsor Highway
New Windsor, NY 12553 - 7900Telephone: 845 565-0003 - - FAX: 845-565-7446
email: IBSHQ@aol.com________________________________________Print this form, fill it in and mail with your payment check.
Your registration is not confirmed until we receive your check.Mail to: IBS, 367 Windsor Highway, New Windsor, NY 12553 - 7900
Station Call Letters:____________________
School Name:__________________________
Station Phone: ______ _______________
Station FAX: ______ _______________
Station email address: _____________________
Station mailing address: _____________________________________
City: ______________________
State: ________ Zip: _________
Registration fee:
IBS member stations & IBS Professional Associates:
___ $80/person to November 20, 2012
___ $125/person after November 20, 2012Non-member stations:
___ $125/person to November 20, 2012
___ $150/person after November 20, 2012Overall registration fee schedule:
First delegate from each IBS Member Station- FREE
Second through Seventh delegates $80 each ($480 maximum total)
Eighth or greater delegates FREE (included in $480 maximum per station registration)
To be registered for IBS Convo FREE,
delegates MUST be preregistered by name/ title and
have a valid student ID card at registration in NYC
Names and Titles may be changed (updated) as many times as necessary for FREE
up to and including February 28, 2013, when badges are printedOur payment check for ______ people in the amount of $__________
is enclosed or has been, or will be, mailed to:
IBS, 367 Windsor Highway, New Windsor, NY 12553-7900IBS Federal ID for your business office is: 23 705 9805
Please register the following people (please print clearly):
Person #1
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #2
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #3
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #4
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #5
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #6
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #7
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #8
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #9
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Person #10
First Name:_________________ Last Name: ___________________
Person's Station Job Title for Badge: _________________________
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Please print any additional names & titles on a blank
sheet of paper and attach it with your check.Note: This form DOES NOT cover hotel room reservations.
To make your hotel room reservations, call toll-free:
1-800-223-8585 Mention you are with IBS Radio for low IBS room rate.New York's Hotel Pennsylvania, 401 7th Ave at 33rd St.
New York, NY 10001Be sure to mention you're with the IBS RADIO -
Intercollegiate Broadcasting System convention
to receive our special rates while rooms may still be available.
Hotel reservations should be made by calling 1-800-223-8585
mention IBS Convention for room availability.