ASA FALL
SUPERINTENDENTS'/HIGHER ED
CONFERENCE
REGISTRATION FORM
OCTOBER 26-28, 2008
(Fill out and print this form then mail to address below
be sure to include check or PO)

NAME
POSITION
DISTRICT
SCHOOL
ADDRESS
CITY ZIP   
PHONE    EMAIL  
Confirmations will be e-mailed

Registration fee includes meals
Please Check
  ASA Member  (member #         )    $240
  Non-Member          $340
  Life/Inst. Member    $190

METHOD OF PAYMENT: Check one

  District      Personal Check

 

Check below which meal functions you will be attending

  Sunday Social
  Monday Continental Breakfast
  Monday Lunch
  Monday Dinner
  Tuesday Breakfast

 

In order to register, a
CHECK OR PURCHASE ORDER
MUST be received with THIS FORM
MAIL TO:

Arizona School Administrators
1910 W. Washington St.
Phoenix, AZ 85009
(800) 472-9753     (602) 252-0361

  No Refunds after October 10, 2008  

ASA OFFICE USE ONLY
CHECK # INVOICE #
PO #DEPOSIT#
TOTAL
R-4027