Registration Form
NAHE Conference
San Francisco - Holiday Inn Golden Gateway
February 28 to March 3, 2007
Please print out this page and use the application form below by filling in the appropriate information. Send your completeted application with a check to the address listed below
IMPORTANT: Your meeting badge will be created from the information you supply. Please be sure to print clearly and provide all of the requested information.
Step One: Join NAHE - Participants/Presenters must be members of NAHE
Check appropriate category
____Individual 2-year membership: $80 __________
____Joint 2-year membership: $120 __________
____Full time student membership: $40 __________
____Retired: $40 __________
Name ___________________________________________________________________
Affiliation ________________________________________________________________
Specialization or Special Interests____________________________________________
E-mail address ___________________________________________________________
Preferred Mailing Address ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
Work phone/Home phone numbers:___________________________________________
Step Two: Register for the 2007 Conference
Name(s) (last, first): ______________________________________________________
Institution:_______________________________________________________________
Do you have a book (note title, publisher, year) from 2005 or thereafter for the convention book exhibit?
________________________________________________________________________
Have you won a teaching award since 2005 for which you could be honored at the convention? ________________________________________________________________________
REGISTRATION FEES (check the ones that apply)
_____Graduate Student Registration $90 __________
_____Member Registration $145 __________
_____Non-Member Registration $160 __________
_____One Day Guest Pass $55 __________
_____One Day Guest Pass $49 (for registered members) __________
_____Reception Guest $20 __________
_____Banquet Lunch Guest $38 __________
Membership fees _________________
Conference fees _________________
Total Received __________________
*2007 Convention Participants: Participants who do not pay the convention registration fee and membership dues by February 7, 2007 will unfortunately have to be deleted from the printed convention program. Your cancelled check is your receipt.
Enclose check made out to:
National Association for Humanities Education
Send completed form and checks to: NAHE, P.O. Box 777, Pacifica, CA 94044-4206
Refunds: Requests for refunds must be made in writing and postmarked no later than 27 February. Mail requests for refunds to NAHE, P.O. Box 777, Pacifica, CA 94044-4206. A $10 service fee is deducted from all refunds. NAHE cannot be responsible for any cancellation or other charges assessed by airlines, travel agencies, or other institutions.
Office Use Only: Rec'd_______ Amt $_______ Check #_______
