Honors Seminar Subscription Form

Please direct subscription questions to Tria Cohen, 601.984.3515.

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. The online video download will be available in the week following each seminar and will be accessible until January 31, 2009. Subscription fees are non-refundable. DVD copies of the seminars will NOT be available.

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:

Technical Representative

Please provide the name and e-mail address for the technical representative from your campus who will be responsible for the Satellite downlink.

Name:

E-Mail Address:

Subscription Fee Schedule

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

 

Subscription Agreement
Received by July 21, 2008

Subscription Agreement
Received after July 21, 2008

 
I wish to receive
the satellite coordinates
to downlink the live broadcasts.
375.00 450.00
I wish to receive
the satellite
coordinates to downlink
the live broadcasts
and access to the video download
and web stream of the broadcasts.
425.00 500.00

Amount Due

Payment

A check or institutional purchase order made payable to Phi Theta Kappa must be received no later than July 21, 2008, to receive the early registration fee.

If you wish to pay with a check or credit card, please print this form or download a subscription form (PDF) and submit with your check to:

Honors Seminar Series
1625 Eastover Drive
Jackson, MS 39211

If you wish to pay with a purchase order, enter your number below and hit the Submit button.

Purchase Order Number:  

The institution listed above wishes to subscribe to the 2008 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 2008 Honors Seminars for lack of sufficient subscribing colleges/universities by sending written notice to all subscribers by September 15, 2008. 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.

Submitting this form means you agree to the restrictions listed above.

 

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