Name - First: Last: (As you would like it to appear on your name badge, first and last name.)
Institution:
Academic Department
Address Line 1
Address Line 2
City State ZIP
Phone Contact: Home/Office: Cell:
Email Address:
Guest/Spouse Registration:
Name - First: Last: (As you would like it to appear on the name badge, first and last name.)
Program and Meal Registration:
The fee covers registration, Friday evening meal and reception, Saturday continental breakfast and luncheon. Saturday evening and Sunday meals are not included.
Total of registration payment due
Please indicate any special dietary or mobility requests/concerns:
or email john.zillman@cuchicago.edu .
If you are flying into Chicago, please complete the following:
Flying in…Arrivals
Airport: O'Hare Midway Day/Date:
Airline: Flight Number Time of Flight Arrival Central Time
Flying out…Departures
Airline: Flight Number Time of Flight Departure Central Time
Airport Shuttle Service:
Concordia University Chicago will operate complimentary shuttle vans to/from O’Hare and Midway airports, to/from the conference hotel. These will be scheduled as travel information is received.
Shuttles to the airports will be scheduled to deliver passengers from the hotel to airports 2 hours prior to scheduled flight time, minimum. Airports are each about thirty minutes from the campus.
Yes, I/we would like to arrange for airport shuttle service. No, I/we will make our own ground transportation arrangements, rent a car, etc.
Driving to the Conference location:
Area maps and directions are available at www.cuchicago.edu . Click on “Visitors and Community” on the left-hand menu. Daytime parking is available in the parking structure on the northeast corner of campus on Bonnie Brae St. just south of Division St.
Before you click the Submit button, please print two copies of this completed form. Keep one copy for your records. Please send one copy, along with your registration payment, payable to ALCF to:
ALCF c/o Dr. John Zillman Box 82K Concordia University Chicago 7400 Augusta St. River Forest, IL 60305
