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REGISTRATION FORM <br /> AMERICAN ASSOCIATION OF SCHOOL ADMINISTRATORS■THE NATIONAL CONFERENCE ON EDUCATION ■FEBRUARY 10-13, 1995, NEW ORLEANS <br /> Return this corm with payment to: CONFERENCE TUITION FEES <br /> Department 79289, Baltimore, MD 21279-0289;800-771-1162. Each registration will include a nonrefundable processing fee of 370. <br /> #of people Total <br /> See page 17 for registration instructions. 0 (1) AASA member fee <br /> Please complete all items below. Leave one open box between words. �2 team members $435 x <br /> O 3.4 team member* $392• x <br /> O 5 a members' $370• x <br /> MEMBER/CUSTOMER ID x(IF APPLICABLE) •Team rates apply when at least one registrant of your team is an AASA member.All team members <br /> ( <br /> most register at the same time,complete separate forms,and be from the same school district. <br /> L ` .J indicate payment totals on only one form. <br /> LAST NAME 0 (2) Non-AASA member fee $525 x <br /> 0 (3) Comprehensive fee(includes 1 year <br /> AASA membership C&$219) $654 x <br /> O (4) Professor/student fee $295 x <br /> FIRST NAME INITIAL U (5) One-day fee $225 x <br /> SI q ❑ Friday O Saturday O Sunday O Monday <br /> ,�E r Q (6) Complimentary(see Conference Tuition 0 <br /> IIT l 1 ` H O O 1 L­113 L. ,./ C O M Fee section eligibility requirements) <br /> J "I ❑ (95 CC95) Conference- $ 50 x <br /> SCHOOL DISTRICT INSTITIn70N Within-Conference <br /> S L' ViI �' L' TICKETS—NO EXCHANGES OR REFUNDS <br /> OFFICE ADDRESS 0 (Tl) Federal Relations <br /> Luncheon $35 x <br /> CTR' STATE 21P O (T2) Minority Affairs/ <br /> p Women's Caucus/ $35 x <br /> 7 0 Women Administrators <br /> TELEPHONE N Committee Breakfast <br /> C 0 (T3)Partners Program <br /> Luncheon $35 x <br /> FAX A <br /> O(96)Partner's name and home address(/or complimentary regisnanon) MEMBER DUES _ <br /> Regular member dues(12 mos.) $219 x <br /> Other AASA membership dues $ x <br /> ❑(97)Children's name(s)(for complimentary registration if under 18 years old) (student,professor,retired),please see <br /> membership dues information for costs <br /> PRE-CONFERENCE PROGRAMS <br /> Registration includes a 110 nonrefundable processing fee separate from Conference processing fee. <br /> Team rates do not apply to these programs: <br /> PUKE ADDRESS LABEL HERE. O (ESAS) AAESA Leadership Seminar $150 x <br /> Look on the back cover of this O (Q507) Basic Tools of Quality $450 x <br /> Conference registration packet or on envelope. <br /> See below for team rates that apply to these programs: <br /> 0 (C509)Curriculum-Driven Budgets $350 x <br /> 0 (PS10) Strategic Planning in the'90s $350 x <br /> O (Q508)What School Leaders Must $350 x <br /> Are you a first-time attendee? -;I YES O No Know About OBE <br /> 0 (5512)Using"Dialogue"as Tool $195 x <br /> JOB FUNCTION DISTRICT ENROLLMENT for Systemic Change <br /> Check one only. Check one only. O (55 11)School Restructuring:Round Two$195 x <br /> O (00) Superintendent O A 25,000 or more 0 (1,514) Making Schools Safe in $195 x <br /> IO (01) Deputy Supt. O B 10,000-24,999 Pty P O C 5,000-9,999 Culture of Violence <br /> ❑ (02) Asst./Assoc.Supt. 0 D 3,000-4,999 O (C513)Curriculum Audit Overview 1195 x <br /> 0 (21) SchCurool Board stm Member <br /> Dir. <br /> I9i(29) School Board Member O Fy 2,000-2,999 <br /> ❑ (29) Other Central Office Dir. Wyk 1,000-1,999 TEAM RATES FOR PRE-CONFERENCE PROGRAMS <br /> I0 (30) Principal 0 G 600-999 1-2 people 3-4 people(10%discount) 5 • people(15%discount) <br /> 0 (34) Asst.Principal O H 300-599 $195 ea. $175 ea. $166 ea. <br /> 0 (53) University Professor O 1 300 or fewer $350 ea. $315 ea. $297 ea. <br /> I 0 (58) Student POST-CONFERENCE PROGRAM <br /> 0 (89) Other <br /> I ❑ (1,521) FSEA Reauthorization E 150 x <br /> DISTRICT CLASSIFICATION ,1,/T t�� <br /> I ❑ Urban )] Suburban dural <br /> GRAND TOTAL � <br /> PURCHASING ROLE PAYMENT OPTIONS <br /> IWhat is your role in product/service How much of your annual budget Charge my credit card: $ (ain't) <br /> purchasing for your district? do you spend on product/service 0 VISA <br /> ICheck all that apply. ppurchases? CARD w rxe DArs O MasterCard <br /> 0 A Final say 0 H 10% O AmEx <br /> 0 B Recommend O I is% O Discover <br /> IO C Specify supplier 0 1 20% SIGNATURE DAre. <br /> ❑ D No involvement 0 K 25% My check is enclosed(payable to AASA in U.S.dollars) $ (ain't) <br /> I D E Establish budget levels available D L 3096 <br /> to make purchases 0 M 3596 My purchase order# is enclosed. $ (ain't) <br /> 0 F Determine need for product/service 0 N 40% GCM095. Please include this number on your purchase order or <br /> I0 G Seim specific product/service 0 0 50% check to expedite processing. <br />