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Subscription Form

Honors Seminar Subscription Form

Please direct subscription questions to Key Services, 800.946.9995.

Institution Information

Name of College/University:

Phi Theta Kappa Chapter Name (if applicable):

Site Coordinator Information

To avoid duplication of requests and orders, all communications with Phi Theta Kappa should be conducted by the designated Site Coordinator.

Name:

Title:

Mailing Address:

No Post Office Box Addresses - UPS Delivery

City:

State:

Zip:

Telephone with Area Code:

(include any extensions)

E-Mail Address:

Honors Seminar subscriptions are for institutional subscribers only and are password protected. Access may be provided to students who are currently enrolled or faculty who are teaching at the subscribing college. Downloads may be used for instructional use only and no fees may be charged for viewing. Any unauthorized use of the program or violation of the terms of the agreement will result in automatic cancellation of the subscription and future access to programs. One DVD copy can be made of the seminars for educational use only. Refunds for the Series will not be given after access to the seminars has been provided.

I understand and agree that I, the site coordinator, am responsible for providing access to the program under the terms of this agreement.

Billing Information (If different from Site Coordinator Information.)

Name:

Title:

Mailing Address:

City:

State:

Zip:

Telephone with Area Code:

(include any extensions)

E-mail Address:

Subscription Fee Schedule

Please select one option and place the appropriate dollar amount in the Amount Due field below.

Subscription Agreement

Early Registration Fee through Aug. 31, 2009

 400.00

Regular Registration Fee after Aug. 31, 2009

 475.00
Amount Due:
Payment

Check or Credit Card

To pay with a check or credit card download a subscription form (PDF) and submit your check or credit card payment to:

Honors Seminar Series
1625 Eastover Drive
Jackson, MS 39211

Purchase Order

If you wish to pay with a purchase order, please enter purchase order number below and hit the Submit button. If you do not have a purchase order number at this time, enter check requested below and hit the Submit button.

Purchase Order Number:  

The institution listed above wishes to subscribe to the 2009 NCHC / Phi Theta Kappa Honors Seminar Series. The institution agrees to pay a subscription fee according to the fee schedule.

Online downloads will be available in the week following the live broadcasts. NCHC/Phi Theta Kappa may substitute presenters if it becomes necessary to do so. NCHC/Phi Theta Kappa may cancel the 2009 Honors Seminars for lack of sufficient subscribing colleges/universities by sending written notice to all subscribers by September 15, 2009. In this event, subscribers shall be entitled to a full refund of any paid subscription fees.

If for any reason a subscribing college/ university experiences technical difficulty due to complications on the receiver's end, the online download will be available to the subscriber. If a technical difficulty results from complications on the satellite sender's end, the program will be rebroadcast at a later date or the online download will be provided to the subscriber at no charge.

Subscribers agree to make and retain only one recording of each seminar for archival purposes only.

Honors Seminar Series Registration Includes:

  • 3 Honors Seminar Lectures: DVD copies and access to online video downloads
  • 1 Planning Guide
  • 10 Honors Study Topic Guides
  • 10 Promotional Posters
  • DVDs will be mailed out and access to online video downloads will be available to all subscribers in late September/early October 2009.

Copyright © 2009 by Phi Theta Kappa. All rights reserved.
None of the official Phi Theta Kappa logos and emblems may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of Phi Theta Kappa. Phi Theta Kappa has registered the name, logo and various titles herein with the U.S. Patent Office.

Inquiries/comments concerning Phi Theta Kappa issues: Member.Services@ptk.org
Technical questions about the Website: Webmaster@ptk.org
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