REGISTRATION - AAUW-NYS Leadership Conference, July 11-13, 2008

Please fill out the form online, then click the "submit" button at the bottom. If you receive an error message, please click the "back" option on your browser. Then correct the error and click the "submit" button again.

First Name:
Last Name:

E-Mail:

Phone:
Street Address:
Apt:
City:
Zip:
Branch:

District:
Branch/State Position for 2008-2009:

We need a complete count since we are charged for each meal and each night's lodging. NYS greatly subsidizes the fees for those staying overnight. Please indicate your attendance expectations:
Entire Weekend (two nights lodging and five meals - $40.00)
OR

Meals I will be eating: (Check as appropriate)

Friday Dinner ($8.75)
Saturday Breakfast ($6.00)
Saturday Lunch ($7.50)
Saturday Dinner ($8.75)
Sunday Brunch ($8.00)

Nights I will be staying: (Check as appropriate)

Friday ($20)

Saturday ($20) 

Please note that there will be an additional charge if you choose a single room ($7.50/night) or if you just visit for part of the day with no meals ($5). You will be contacted regarding those charges.
Special Dietary Needs:

Roommate Preference

("none" if you desire a single)

Comments:


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