Please submit the registration form, then proceed to payment options at the bottom of the page

 

 

 

If you are signing up for the Fellows program, go to the Fellows page

 

If you are signing up for the New Interculturalists program, go to the NICs page

Please submit the registration form, then complete the payment information below.

SUBMIT FORM

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Credit card payments can be made below after submitting this registration form, or by contacting ICI directly by phone or fax.  

Checks can be made out to Intercultural Communication Institute and mailed to:

 

Intercultural Communication Institute

8835 SW Canyon Lane Suite 238

Portland, OR 97225

Phone: 503-297-4622

Fax: 503-297-4695

Please select your workshop(s)

*Name:

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First name or nickname:

*Email address:

Title:

Organization:

Session I:

Sample of SIIC:

Session II A:

Session II B:

Session III A:

Session III B:

*Mailing address is:

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*Address:

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*City:

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Zip or Postal Code:

*Country:

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Phone #1:

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Phone #2:

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Emergency contact information

 

*Name:

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*Relationship:

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*Phone number:

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How many years have you attended SIIC?

Are you a MAIR graduate?  If so please enter your cohort number:

Housing information

 

Please identify your gender:

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Please select housing preference:

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If you need extra night(s) accommodation before or after your workshops please enter the dates here:

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Method of Payment:

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If paying by purchase order please enter the number:

If paying by Paypal please enter the name on the account:

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Select your payment option:

Registration Procedure

 

You may send the entire fee or deposit of $100 per person. Final payment is due prior to arrival. Registrations without a deposit will be put on a waiting list.

 

If you are sponsored by a corporation or academic institution you may register with a purchase order number. Payments must be made in U.S. dollars drawn on a U.S. bank, or by MasterCard, VISA, or American Express.

 

You may cancel you registration up to 10 business days before the start of your workshop, and we will refund your tuition less a $100 cancellation fee. Some substitutions or transfers, within 12 months, may be available by special arrangement. Contact Elsa Wallace for details.

2016 SIIC Registration

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Intercultural Communication Institute

 8835 SW Canyon Lane, Suite 238 

Portland, OR 97225 

Phone: 503-297-4622

 ici@intercultural.org 

TEACH WISELY - TRAIN EFFECTIVELY - MANAGE THOUGHTFULLY