REGISTRATION FORM
Arizona Language Association and Partnership Across Languages Fall Conference
Friday October 6 th & Saturday October 7 th , 2006
The University of Arizona , Tucson , Arizona

Schedule: Friday 10/6/ 06 11:00 a.m. - 12:30 p.m. Registration
    1:00 - 8:00 p.m. Conference sessions and Dinner
  Saturday 10/7/ 06 8:30 a.m. - 4:30 p.m. Conference sessions, lunch and AATs

Registration fee includes all conference materials, sessions, Friday meal and entertainment, Saturday luncheon, and break refreshments for the two-day conference. Vegetarian options will be available for all meals. One-day registration only includes meal of the day. Cancellations made prior to 9/15 are eligible for a refund. Single-session passes are available for $5.00 at the registration table during the conference for full-time students and grad students who wish to attend a limited number of sessions (does not include meals). Availability of meals cannot be guaranteed with late or on-site registration. Please contact the conference Chairperson by 9/15 if you need special accommodations. Confirmations will be sent via e-mail where possible.

Conference Options:     
 

Members
(Member prior to 9/15)

Non-Members
(If you would like to become a member, register as a "member" before 9/15)

Student/ Retired

One Day Only

By 9/15/06 $45
After 9/15/06 $55

By 9/15/06 $65
After 9/15/06 $75

By 9/15/06 $20
After 9/15/06 $25

       

Both Days

By 9/15/06 $75
After 9/15/06 $90

By 9/15/06 $95
After 9/15/06 $110

By 9/15/06 $40
After 9/15/06 $45


* required information in order to process this request.

*I will be attending:

One Day :              
Friday
or
Saturday

or

Both Days

Amount:

* I need to pay my 2006-07 AZLA annual dues OR I would like to join AZLA today
$ 20.00 (one year, Regular)   $ 10.00 (one-year Student/Retired)   $ 10.00 AAT/PAL member None

Total Fees:

*First Name:

*Last Name:

*Address:

*City:

* State:

* Zip:

Phone:

ex: 405-555-1234

* Email:

 

 

*School

School Address

School City

School Zip

School State:

School Email:

 

 

Languages I teach are :

*Please include my contact information in the AZLA Directory : Yes   No

*How would you like to receive the AZLA Newsletter by? US Mail  Email  Accessing the AZLA Website

 

My district will pay my conference fees with a PURCHASE ORDER (number and information):

 

 

 

Please make your check payable to: Arizona Language Association and mail with this form to:
Linda Bedson
5428 E. St. John Rd.
Scottsdale , Arizona , 85254

For more information, contact John T. Urban at jturban@email.arizona.edu

(No portion of the fee maybe used for tax deductible purposes)