NESA 2008 Conference Registration

IF PAYING BY CHECK OR PURCHASE ORDER, PLEASE USE OUR PRINTABLE FORM AND SEND WITH PAYMENT. DO NOT SUBMIT ELECTRONICALLY.

Name:

District/School/Organization:

Address:

City, State, Zip:

County:

Phone:

Fax:

Email:

 

A.Pre-conference sessions (Sunday, October 19, 2008)
Even Start Family Literacy Program Leadership
- FULL DAY (8:00-4:00)		 $149
The Art of Storytelling: Engaging Families as Literacy Partners
- HALF DAY 8:00-11:30		 $99
Denver II Developmental Screening Instrument
- FULL DAY 8:00-4:00
NOTE: REGISTRATION FEE IS PRE-PAID FOR TEXAS EVEN START PROGRAM PARTICIPANTS		 $149
When Life Interferes with Literacy: Supporting Parents and Children with Mental Health Issues and Challenging Behaviors - FULL DAY 8:00-4:00 $149

 

B.Conference Registration (Mon/Tues, October 20-21, 2008)
Late Registration Fee - MEMBER (form and payment/PO received in office after September 26)$345
Late Registration Fee - NON-MEMBER (form and payment/PO received in office after September 26)$400

Pre-Conference Fees:
$

Conference Fee:
$

Total due:
$

WILL YOU ATTEND THE LUNCHEON ON TUESDAY, OCTOBER 21 FROM 12:00PM-2:00PM?:
Yes No
(The luncheon is included in your conference registration fee.)

Payment Method:
Credit Card (we do not accept American Express)

Name on Credit Card:

You will be taken to the payment page after completing this form.

Note: This is a binding agreement which reserves enrollment space in the NESA Conference for the person listed. Upon receipt of this form and accompanying purchase order or payment, NESA will consider the person formally enrolled in the conference. Registration forms will not be processed without a copy of the purchase order or payment.
(Please initial)

Cancellation policy: Cancellations received in writing by September 26, 2008, are subject to a $25 fee. After that date, substitutions will be allowed but no refunds will be made. No-shows will be billed the full registration fee. To cancel reservations, write to NESA at the address below. To make substitutions, please call (800) 977-3731.

** If you are using a Purchase Order as payment DO NOT use our online form. Please download our form instead and sent it along with a copy of your purchase order. Click here to download our form.