International Conference & ExpositionThe World’s Largest Talent Development Conference

ATD Member I.D. Number: _______________________________________________________ Chapter Code (if applicable): ____________________________________________

Enterprise Member Code (if applicable): ___________________________________

Last Name: ___________________________________________________________________ First Name: ___________________________________________________________

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Organization: _________________________________________________________________________________________________________________________________________

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Preferred Name for Badge: _______________________________________________ ________

Full Conference BadgeA full conference registration includes concurrent sessions, general sessions May 19-22, and entrance to the EXPO hall May 20-22. Member Nonmember

o Advanced Rate (Deadline: April 19, 2019) o $1,695 o $1,945o Regular Rate (Deadline: May 4, 2019) o $1,875 o $2,200o On-Site Rate o $2,175 o $2,500 o Government Rate (only employees of federal, state, local, or tribal governments are eligible for this rate) o $1,325 o $1,625o Student Rate (see www.td.org/students for eligibility requirements) o $800 o $1,000 o Conference & Chapter Team Regular Rate (postmarked or dated on or before April 12, 2019) o $1,325 o $1,625 Conference team code: _____________________ For more information on conference teams, or to obtain your code, please contact conferenceteams@td.org. For more information on chapter conference teams, or to obtain your code, please contact nporter@td.org. o International Delegation Early Bird Rate (postmarked or dated on or before May 14, 2019) o $1,325 o $1,625 International delegation code: _____________________ For more information on international delegations, or to obtain your code, please contact international@td.org. o ATD Networking Night Tickets will be available online o $75 o $75 and on-site at the conference while supplies last.

Daily BadgeA daily conference registration includes concurrent sessions, general sessions, and entrance to EXPO Hall for the particular day(s) specified.

o Daily Rate—Please specify day(s)—includes access to EXPO o $800/day o $1,000/day Sunday (No EXPO) Monday Tuesday Wednesday 99 o EXPO Only Rate Please specify which day(s). $99/day: Monday Tuesday Wednesday o $99 o $99

REGISTRATION OPTIONS

CONTACT INFORMATION

If you have a disability that requires auxiliary aids during the conference, please specify.

o Audio o Mobile o Visual

By registering for ATD 2019, you will receive communications from ATD. Adjustments to your preferences can be made at any time: https://emailprofile.td.org/

ATD shares only your mailing information with our sponsors and exhibitors.

o I do not want to receive communications from ATD 2019 sponsors or exhibitors before, during, and after the event.

ATD MEMBERSHIPJoin ATD now and save on conference registration fees. Learn more about membership at www.td.org/membership.

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DOMESTIC INTERNATIONAL United States, Canada, and Puerto Rico Countries and territories other than United States, Canada, and Puerto Rico

Professional Professional Plus Professional Professional PlusATD 1-Year Membership  $259  $399  $209  $319 (Domestic includes print copies of TD;

International includes digital only)

Young Professional  $229  $369  $179  $289 Ages 35 and youngerStudent Membership  $99  $239  $99  $159 See www.td.org/students for eligibility requirementsSenior Membership  $119  $259  $119  $179 Ages 65+Power Membership  $229  $369 Must include Chapter code above

May 19-22 | Washington, D.C.

REGISTRATION FORM

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International Conference & ExpositionThe World’s Largest Talent Development Conference

May 19-22 | Washington, D.C.

REGISTRATION FORM

4-Day Programs — May 15-18 2019, 8:30 a.m.–4:30 p.m.

Events Member Non-Member Product Code

ATD Expert Coach™ Program $2,895 $3,155 ECDC0519

ATD Master E-Learning Instructional Designer $2,795 $3,055 MEIDDC0519

ATD Master Performance Consultant™ Program $2,795 $3,255 MPCDC0519

ATD Master Trainer™ Program $2,795 $3,055 MTDC0519

3-Day Programs — May 16-18, 2019, 8:30 a.m.–4:30 p.m.

Events Member Non-Member Product Code

ATD Master Instructional Designer™ Program $2,795 $3,055 MISDDC0519

Evaluating Learning Impact Certificate $1,595 $1,795 ELIDC0519

Instructional Design Certificate $1,595 $1,795 DLDC0519

Managing Learning Programs Certificate $1,595 $1,795 MLPDC0519

Training Certificate $1,595 $1,795 TCDC0519

2-Day Programs — May 17-18, 2019, 8:30 a.m.–4:30 p.m.

Events Member Non-Member Product Code

Adaptive Learning Certificate $1,295 $1,495 IDALDC0519

Adobe Captivate Certificate $1,195 $1,395 ACDC0519

Articulate Storyline Certificate $1,195 $1,395 ASLDC0519

ATD Certificate in Strategic Leadership $1,495 $1,695 CSLDC0519

Blended Learning Certificate $1,495 $1,695 BLDC0519

Change Management Certificate $1,395 $1,595 CMDC0519

Coaching Certificate $1,395 $1,595 CCDC0519

Consulting Skills Certificate $1,395 $1,595 CSDC0519

Creating Leadership Development Programs Certificate $1,395 $1,595 CLDDC0519

Designing Visuals Learning Certificate $1,395 $1,595 CEPDC0519

E-Learning Instructional Design Certificate $1,295 $1,495 ELDC0519

Facilitation Skills Certificate $1,395 $1,595 FSDC0519

Improving Human Performance Certificate $1,495 $1,695 IHPDC0519

Integrated Talent Management Certificate $1,495 $1,695 ITMDC0519

Full Day Preconference Workshops — May 18, 2019, 8:30 a.m.–4:30 p.m.

Events Member Nonmember Product Code

12 Steps to Building and Growing a Talent Development Firm $495 $695 ICE2019WK01

Critical Thinking Boot Camp $495 $695 ICE2019WK02

Graphic Design for Non-Graphic Designers $495 $695 ICE2019WK03

Create a Powerful Measurement and Reporting Strategy With Talent Development Reporting Principles $495 $695 ICE2019WK04

Using Design Thinking to Craft Learning Experience $495 $695 ICE2019WK05

Agile Project Management for E-Learning $495 $695 ICE2019WK06

Coaching SMEs to Facilitate Learning: Techniques to Improve Their Performance $495 $695 ICE2019WK07

Developing Trustworthy Leaders and Workplace Cultures $495 $695 ICE2019WK08

Coaching Essentials for Team Leaders $495 $695 ICE2019WK09

International Conference & ExpositionThe World’s Largest Talent Development Conference

May 19-22 | Washington, D.C.

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Microlearning Certificate $1,295 $1,495 MDC0519

Mobile Learning Certificate $1,295 $1,495 MLDC0519

Needs Assessment Certificate $1,395 $1,595 NADC0519

Performance Support Certificate $1,495 $1,695 PSCDC0519

Preparing for the CPLP: Instructor-Led Workshop $895 $1,195 PREAPTDDC0519

Preparing for the APTD: Instructor-Led Workshop $995 $1,295 PREFDC0519

Project Management for Learning Professionals Certificate $1,395 $1,595 PMDC0519

Rapid Video Development for Learning Certificate $1,495 $1,695 RVDDC0519

Sales Enablement CertificateProduct $1,295 $1,495 SEDC0519

Scenario-Based E-Learning Certificate $1,295 $1,495 SBEDC0519

Writing for Instructional Design and Training Certificate $1,295 $1,495 WIDTDC0519

PAYMENT INFORMATION

Five Easy Ways to Pay

Credit Card Phone Purchase Order Wire Transfer Check

Please visit atdconference.td.org/registerOR submit this application via email to customercare@td.org or fax to +1.703.299.8723. A payment link will be sent to you within two business days after we receive the application.

Our Customer Care representatives are available Monday-Friday, 8 a.m. to 6 p.m. ET.

Please call us at 800.628.2783 (U.S.) or +1.703.683.8100 (International).

A signed P.O., printed on company letterhead, must accompany this application.

Each rate type (Early Bird, Advanced Rate...) has an expiration date and is subject to change. Please visit atdconference.td.org or contact ATD Customer Care with questions.

Please Visit www.td.org/wiretransfer

Mailing Address: Association for Talent Development PO Box 743041Atlanta, GA 30374-3041

There will be no refunds or credits issued after April 12, 2019. All cancellations prior to April 12, 2019, are required in writing to customercare@td.org, and a $100 cancellation fee will apply. In lieu of a refund, you may elect to keep the credit from the cancellation on your account to use for another program or ATD product; however, all credits must be used within one (1) year of the date of issuance. If you have any questions regarding your registration, please contact Customer Care at 800.628.2783 or 1.703.683.8100 (Monday-Friday, 8 a.m.-6 p.m. ET) or customercare@td.org. Visit www.td.org/terms for additional policies.