San Gabriel Valley CUE 2008-09 Coffee Break Registration

Additional Information

Register for single or multiple Coffee Breaks here on the Coffee Breaks Registration page.

You will receive an email verifying we have received your registration within 72 hours. If you don't hear from us within 72 hours, please contact SGVCUE by sending an email from the Email SGVCUE page or by resubmitting your application.

Prefer not to register online? Simply download the Coffee Breaks Brochure for additional information including a mail-in panel.

For members of CUE, the Coffee Breaks are free. However, we are charging a $15 refundable Registration Fee to reserve your space. This fee will be refunded to you at check-in if you are a CUE member.

If you are a guest or non-member, you may apply this $15 fee to your membership in CUE, if you choose. Membership application must be made at the workshop.

Checks must be received at least five days prior to the date of the Coffee Break. Receipt of this deposit holds your seat. Make all checks payable to SGVCUE.

Please send to:
Coffee Break Registration
San Gabriel Valley CUE
Post Office Box 1659
Claremont, CA 91711

Coffee Break Registration Form

You have two ways to register for SGVCUE Coffee Breaks.

You can complete the online registration form below or if you prefer, you can download and mail the Registration Form found on the the Coffee Break Page.

If completing your registration online please do not use all caps.

Coffee Break Registration Form: *
Coffee Break Registration Form

Your Name: *

Primary Email Address: *

Home Phone (123-456-7890): *

Cell Phone (123-456-7890): *

School/Business Phone (123-456-7890): *

Home Address: Street: *

Home Address Line 2:

Home Address City: *

Home Address Zip: *

Name of School or Business: *

District (if you are not a member of a district, simply put your organization name or none): *

SGVCUE Membership Information: *
Yes, I am currently a member of SGVCUE.
No, I am not a member of SGVCUE; please contact me about becoming a member.
No, I am not a member of SGVCUE.
I am a member of another CUE Affiliate, but would also like to be a SGVCUE member.
No, I am a member of another CUE Affiliate.

I am registering for all three Coffee Breaks:

I am registering for the October Power Web Tools Coffee Break:

I am registering for the January Digital Storytelling Coffee Break:

For the January Coffee Break, please be sure to select one of the two choices below:

I am registering for the March Podcasting Coffee Break:

For the March 28 Podcasting Coffee Break, I prefer to work on a:
Mac
PC
either is fine with me.

Additional Information: