2023 Conference Registration

$350.00

Spouse Information (if Applicable)

Leave blank if none or if you and your spouse choose to register individually.

Pay a 50% deposit per item

Category:

Description

Secure your spot in Hollywood, 2023!

May 1, 2021- March 31, 2022: $300
April 1, 2022 to March 31, 2023: $350
April 1, 2023 to the Door: $400

2023 Conference Registration
Terms and Conditions

CONFIRMATION: A confirmation letter with ID number assigned to you will be emailed/mailed after a payment received. Please indicate your ID number in all correspondence with the registration coordinator. Driver's license or personal identification card with photo must be presented at the conference registration booth.

RETURNED (BOUNCED) CHECKS: A service fee of $50 will be applied to all checks returned by the bank due to sufficient funds. Your registration will be processed after payment has been satisfied.

CANCELLATION AND REFUNDS: Registration fee is non-refundable on and after April 1, 2023. Phone cancellations are not accepted. Hospitalization and medical document will be required after April 1, 2023. Death- 100% refund will be mailed after we receive a copy of obituary notice or death certificate.

NON-TRANSFERABLE: Your registration is not transferable to another person. If it is sold or exchanged by any unauthorized parties before or during the conference, it will not be honored.

LOST BADGES: Processing fee for lost badges is $50. This fee is not refundable if the lost badge is found.

MAILING ADDRESS/EMAIL ADDRESS/VIDEOPHONE NUMBER/TEXT NUMBER: If there are any changes to your contact address or numbers, please notify the registration chairperson as soon as possible.

SPECIAL NEEDS REQUEST: These are limited to authorized conference activities inside the hotel premises. You may be responsible for arranging special needs outside authorized conference activities at your own expenses.

DSA MEMBERSHIP DUES ARE NONREFUNDABLE

Call for Exhibitors

Status:
Address
Contact Name
Early Bird Special (end December 31st, 2022):
Rates
Standard Rate:
Exhibit Reservations
Number of booths: For more than five booths, please contact: dsa2023exhibition@deafseniors.us
Please print the following information exactly as you wish it to appear in the program book and booth identification sign:
Program Book Identification/Booth Description Sign
Name
Type your name and it will be considered as a signature:
Payment Section
Credit card information and this contract can also be faxed. A $40- charge will be assessed on all returned checks.
This field is for validation purposes and should be left unchanged.

Call for Presentations

MAIN PRESENTER
Self or Organization (if applicable)
Address
ADDITIONAL PRESENTER/PANELIST
Self or Organization (if applicable)
Address
Please submit your biography relevant to your qualifications for this presentation. Your biography will be printed in the conference program and posted on our web. Please submit up to 300 words in a written/narrative format and NOT a CV/resume.
Titles should be concise and intriguing. Attendees will choose from up to five (5) other session titles per time block.
Descriptions should be no more than 100 words and will be printed in the program book. Suggested format: Describe the activities that will result in the projected outcomes
Please describe what AV your presentation requires, such as flipcharts, PowerPoint, video clips etc. PLEASE NOTE: DSA 2023 Conference DOES NOT PROVIDE LAPTOPS.
• Your proposal in detail including specific examples, goals and objectives
• Your expertise in the topic you select to discuss
• Strategies that support overcoming obstacles, best practices, how can one implement these strategies across the deaf senior community
DSA2023 accepts APPLICATIONS in 3 different formats - workshop, lecture, and/or panel. All sessions will take place between June 26 through 28, 2023.
Please check off all boxes that apply.
FORMAT
ROOM SET UP - Session rooms are set in theatre style. We try to accommodate set up when possible, please list your preference below:
Please offer in the space below any additional information that the program committee should be aware of when reviewing your submission/presentation.
This field is for validation purposes and should be left unchanged.

DSA 2023 Hollywood, FL Raffle

Contact the Deaf Seniors of America, Inc.

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