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IAPP Global Privacy Summit 2016 Registration Form
IAPP Global Privacy Summit 2016Washington, DC
Training and Workshops April 34 | Conference April 56Remit your registration form and full payment via:
fax: +1 603.427.9249, or mail:IAPP Global Privacy Summit Registrar
75 Rochester Ave., Suite 4, Portsmouth, NH 03801 USAPayment must be received with your registration to guarantee your space.
Please check one: IAPP Member Nonmember
Name: ____________________________________ Address: ____________________________________________
City: ______________State: _________ Postal Code: _______Country: _________
WORKSHOP REGISTRATION
One half-day workshopTwo half-day or one daylong workshop
$545 USD$695 USD
April 4 (NOT part of the main event, you must register separately)
MAIN CONFERENCE REGISTRATION
IAPP member:
Nonmember:
Government:
Academic (full-time university faculty or student):
Guest price (coworkers or associates in the industry not eligible: pass gives access to the receptions and meals only)
$1,195 USD
Early Bird Until March 11
Regular Rate After March 11
$1,395 USD
$1,395 USD $1,595 USD
$1,045 USD $1,145 USD
$495 USD $495 USD
IAPP MEMBERSHIP REGISTRATION
Individual membership/Renewal
Government and higher education employees
Student (must be enrolled full-time)
$250 USD
$100 USD$50 USD
Note: Corporate rate is not retroactive. You must contact us prior to initial registration in order to take advantage of the savings.
First name or nickname (for your badge):_________________________________________ Please indicate any special dietary needs:_________________________________________________________
Company: __________________
Telephone: ____________ Fax: __________Email: ____________________________
April 56
Page 1 of 2
Big Data Project Vetting to Assure Fair and Innovative Data Use
Vendor Management in Healthcare Privacy (and Beyond)
Privacy Bootcamp
9 a.m.1 p.m. (half day) 26 p.m. (half day)
Get Hands-On (Again): Privacy and Security during Information System Design
Troubled Waters with Texts and Robocalls: TCPA/TSR Compliance/Enforcement Issues
Building a Hurricane-Proof Data Transfer Compliance Program
9 a.m.6 p.m. (daylong)The Privacy Pros Field Guide to Cloud Contracting and Compliance
GDPR Bootcamp
Special Corporate RateGroups of five or more save 20% off the member rate! Email [email protected] to see if you qualify.
n/a $275 USD
Registration Form
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IAPP Global Privacy Summit 2016 Registration Form
IAPP PRIVACY TRAINING AND CERTIFICATION REGISTRATION
PRIVACY TRAININGSCircle the training of your choice:
Principles of Data Protection in Europe
Principles of Privacy in Technology
Principles of Privacy in the U.S. Government
Principles of Privacy in the U.S. Private Sector
Principles of Privacy Program Management
Member Nonmember
$1,295 USD $1,495 USD
CERTIFICATION EXAMSCircle the exam of your choice:
CIPM, CIPP/C, CIPP/E, CIPP/G, CIPP/US and CIPT Exams
CIPM, CIPP/C, CIPP/E, CIPP/G, CIPP/US and CIPT Exam Retake
Member
$550 USD
$375 USD
Nonmember
$550 USD
$375 USD
PAYMENTPayment must accompany your registration form.
Enclosed is check #___________ in amt. of $____________ Only U.S. dollars accepted on checks ALL registrants: Please make check payable to IAPP Please write attendees name on check
Credit card: Charge $__________________ to the following: Visa MasterCard American Express DiscoverCard number: _____________________________________Expiration date: ___________________________________Cardholders name: _________________________________Cardholders signature: ______________________________
IMPORTANT REMINDERSMethod of PaymentYou may pay by MasterCard, Visa, American Express or Discover online. To pay by check or wire transfer, please contact [email protected]. A $20 USD fee will be charged for any returned checks. You will need to provide credit card information to secure your registration if a check/money order is not included with registration form. If we havent received payment seven days prior to the event, well process your registration using the credit card info supplied.Refunds and CancellationsExecuted registration form, online registration and e-mail confirmation constitute binding agreement between two parties. Registration fees are not refundable but are transferable to a person in the same company. No refunds are given for no-shows or cancellations. Program subject to change.Notice Regarding Attendee InformationExhibitors and major sponsors are permitted to mail attendees one pre- and one post-conference mailing. Attendee names and mailing addresses are sent directly to a bonded mail house: Exhibitors and sponsors DO NOT have access to the data. If you prefer not to be included in these mailings, please check here:
Add me to the IAPP Daily Dashboard e-newsletter:
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April 34
April 6
MANDATORY CONTINUING LEGAL EDUCATION (MCLE)
Do you plan to apply for MCLE credits? Yes No
If yes, please indicate the state(s): _________________________