2018 ANNUAL CONFERENCE REGISTRATION FORM Admin Use: Hilton Norfolk The Main Norfolk, VA March 10-13, 2018

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1 2018 ANNUAL CONFERENCE REGISTRATION FORM Admin Use: Hilton Norfolk The Main Norfolk, VA March 10-13, 2018 Received: Processed: PLEASE COMPLETE & RETURN TO VAM: mail: 3126 W. Cary Street, #447 Richmond, VA fax: INSTRUCTIONS: Please see the online conference brochure for complete details about the 2018 program. Register by February 19, 2018 to take advantage of early bird savings. Select your registration preference. Additional fees required for optional events, such as evening events. Registration is required for free opportunities including Monday s Awards Luncheon. Questions: Please contact Christina Newton at or cnewton@vamuseums.org. Name: Title: Organization: Address: City, State: Zip: Phone: Emergency Contact Person: Daytime phone: Evening phone: MEMBERSHIP: I am an employee/volunteer/board member of a member organization: I am an Individual, Benefactor or Student member I would like to Join or Renew Membership information can be found at Individual $45 Benefactor $125 Students Free for fulltime students; please include copy of student identification Institutions Please contact VAM for assistance at membership@vamuseums.org or

2 CONFERENCE REGISTRATION: Early Bird Rate Regular Rate Deadline: February 19 February 20-March 5 Full Conference: VAM Member $ $ Full Conference: Non-Member $ $ Full Conference: Student $ $ Full Conference: Speakers $ $ Full Conference: Discount Categories $ $ Conference Committee & Benefactor Members VAM Member Institutions sending 3 or more representatives receive a discounted rate. *Please complete a registration form for each person. Single Day: VAM Member or Non-Member $ $ I will attend: Sunday Monday Single Day: Speakers $ $ I will attend: Sunday Monday Single Day: Tuesday, March 13, 2018 $75.00 $ OPTIONAL TICKETS *Fee required; space is limited for some events. Historic Sites Forum: Fort Monroe *space limited $25 Scholarship Fundraiser: Nauticus/Hampton Roads History Museum/Battleship Wisconsin $64 Leadership Forum: MacArthur Memorial $25 Sunday Evening: On the Wild Side, of the Virginia Zoo $35 Monday Evening: Anniversary at the Chrysler Museum of Art $35

3 OPTIONAL EVENTS & AWARDS LUNCHEON *Free but registration is required; space is limited for some events. Workshop - Role Playing & Storytelling: Interpretive Teaching Techniques 1:00pm-4:00pm Slover Library, Norfolk Public Library *space limited Tour with the Curator 3:00pm-4:00pm MacArthur Memorial Visitors Center *space limited Regional Welcomes 11:00am-12:00pm Start the conference at this opportunity to meet VAM's board directors for the state regions while networking with colleagues and friends from the area. Please select your region if interested in attending. Northern Virginia & Washington, DC (areas within Loudoun, Fauquier, Orange to Alexandria, Caroline) Tidewater & Eastern Shore (areas within King George, Charles City, Southhampton to Accomack) Central Virginia (areas within Louisa, Henrico, Greensville to Buckingham, Appomattox, Halifax) Mountain & Valley (areas within Clarke, Lynchburg, Martinsville to Winchester, Highland, Botetourt) Southwest & Blue Ridge (areas within Roanoke, Patrick to Buchanan and Lee) Awards Luncheon 12:30pm-2:00pm Featuring Charles F. Bryan, Jr., Ph.D. and Recognition of Certificate in Museum Management Students & Virginia s Top 10 Endangered Artifacts Honorees Emerging Museum Professional & Advanced Museum Professionals Mixer 9:30pm -? *space limited The Barrel Room, 437 Granby Street Norfolk, VA Tuesday, March 13, 2018 Open House at the Thoroughgood House 1:00pm-4:00pm Thoroughgood House, 1636 Parish Road Virginia Beach, Virginia GUEST PASS $ Consider purchasing a Conference Guest Pass for family or friends coming along with you to Norfolk. The Guest Pass includes: Exhibit Hall and receptions, coffee breaks on Sunday and Monday, breakfast on Tuesday, and the Awards Luncheon on Monday. The Conference Guest Pass does not include entrance to the concurrent sessions. Name of guest and Please indicate any dietary preference: Vegetarian Vegan Other: (Kosher, allergy)

4 OPTIONAL EVENT GUEST TICKETS Historic Sites Forum: Fort Monroe *space limited $25 Scholarship Fundraiser: Nauticus/Hampton Roads History Museum/Battleship Wisconsin $64 Leadership Forum: MacArthur Memorial $25 Sunday Evening: On the Wild Side, of the Virginia Zoo $35 Monday Evening: Anniversary at the Chrysler Museum of Art $35 PREFERENCES: Please indicate any dietary restriction: Vegetarian Vegan Other: (Kosher, allergy) Please select your name tag ribbons (if applicable): Advance Museum Professional (in the field over fifteen years) Emerging Museum Professional (in the years under five years) Benefactor Member Exhibitor First Time Attendee Past VAM Board Member Speaker Release: VAM Staff will be taking photographs throughout the conference and reserves the right to use them for online and print promotional purposes. If you do NOT want your image used in this manner, please check this box. VAM publishes a list of conference attendees. If you wish to NOT be included and wish to opt out of this publication, please check this box.

5 PAYMENT: Conference Registration: Event Tickets: Guest Tickets & Pass: $ VAM Membership: $50 for 50 Donation: Be a part of VAM s $50 for 50 Campaign and ensure that we can continue to serve our members well into our next half century! Donate $50 today and receive a special thank you gift of a beautiful business card holder and keychain package embossed with VAM's logo. Total Due: PAYMENT METHOD: Send me an Invoice Check or Money Order enclosed, payable to Virginia Association of Museums Credit Card # Exp. Date CVC Code Name on Card: Address associated with Credit Card: CANCELLATION POLICY: Cancellation deadline: February 23, Only refund requests for cancellations received in writing and postmarked by this date will be considered. Refunds will be processed after the conference. A $75.00 processing fee will be deducted. VAM pays upfront costs for each registrant. If you cancel after this deadline and have a balance due, you will be responsible for that balance.