1999 NEA HIGHER EDUCATION CONFERENCE REGISTRATION FORM

NAME: First_______________________ Initial _____ Last_____________________________
Preferred/Nick Name _________________________________(for name tag)

HOME ADDRESS:Street____________________________________________________
City _________________________ State ______ Zip Code__________Phone ()____ - ______

INSTITUTION/ORGANIZATION:____________________________________________
ADDRESS:Street__________________________________________________________
City _________________________ State ______ Zip Code___________Phone ()____ - ______

E-MAIL: Address: ______________________________________ FAX:()____ - ______

CHECK ONE: NEA Member Non-member Staff Guest NEA Director/Officer Student NEA Member

[OPTIONAL INFORMATION FOR NEA USE ONLY]

American Indian/Alaska Native Asian/Pacific Islander Hispanic Black Caucasian

Registration Fee: Includes luncheon and dinner Friday, continental breakfast and luncheon Saturday, and brunch Sunday, plus coffee breaks and materials. Please make check payable to "NEA HIGHER EDUCATION CONFERENCE."

PRIOR TO 12/11/98: NEA Member, Staff, or Guest: $110.00 Non-Member: $165.00
AFTER 12/11/98: NEA Member, Staff, or Guest: $135.00 Non-Member: $190.00

Please send me the Registration Form(s) for: Leadership Day Staff Training

Airline Reservations:For this meeting, we have made arrangements for discount fares on a designated airline; details are included with this announcement. Please be sure of your travel times and dates, as any changes or cancellations will result in a penalty assessed by the airline.

Crowne Plaza St. Anthony Hotel: On receipt of your conference registration form and fee at the NEA, you will be sent a hotel reservation form which must arrive at the hotel no later than Friday, February 5, 1999. The conference rate, available only through NEA, is $125.00 single or double occupancy per night plus tax. If making reservations by telephone (800) 227-6963, you must identify yourself as being affiliated with the National Education Association to receive the special conference rate .

Transportation: Transportation between the hotel and the San Antonio Airport (eight miles) is available by taxi (approximately $15.00) or Airport shuttle service (approximately $7.00). Valet-parking is available for $12.00 per day, with 24-hour access and security – Self parking is $9.00 per day.

Cancellations:Your conference registration fee will be refunded if a cancellation notice is received at NEA by 4:00 p.m., February 26, 1999.

This form (keep a copy for your reference), along with the required registration fee, MUST BE RETURNED BY JANUARY 29, 1999 to guarantee your registration for the conference.