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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

  • 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:

    Page 2 of 2

    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): _________________________