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Thank you for your interest in the Young Alumni Leadership Conference on March 9-10, 2012 at the Seelbach Hotel in Louisville, Kentucky. Conference registration includes Friday night hotel reservation, dinner Friday night, breakfast and lunch Saturday and the opportunity to hear from influential speakers and to connect with the alumni community. If you have any questions, regarding the conference, please contact Amy Roman, Foundation Coordinator at (812) 514-8402 or aroman@indstatefoundation.org

 

 

Conference Registration*

If you indicated that you’d like to share a room with a roommate or a spouse, please provide their name below. Please note that the roommate requested below needs to register separately if they are attending the conference.

Friday Dinner

Special dietary needs?

If you have a spouse and/or other guests who are not attending the conference, but with whom you would like to attend dinner on Friday, you may purchase tickets for them below.
Additional dinner tickets ($49 ea.)

Contact Information
First name *
Last name *
Street address *
Street address, line 2
City *
State *
ZIP *
Home number
Cell number
Email address *
Place of employment *
Title *
Graduation year * (yyyy)
Major

Shirt Size
Gender *
Shirt size *

Additional Information

Would you like more information about…

* Refund Disclaimer

Any changes or cancellations regarding conference registration should be made in writing to the conference organizer, Amy Roman.

Cancellation on or before February 1, 2012: 50% of the registration fees will be refunded after the conference.

For cancellations made after February 1, 2012, no refunds will be made.

 
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