-- Registration Form, page 2 - Designed to be Printed -- (It is not possible to register over the Web or via email)

CONFERENCE CHARGES:

ACCOMMODATION COSTS, based on seven nights - Wednesday, May 2nd through Wednesday morning, May 9th:

(Please check your preference)

1. International Hostel 104th Street and Amsterdam Avenue

(There are three different styles):

a. Basic Accommodation: Hostel

Seven Nights, Dormitory Style (6-12 bed room), Bathrooms in the hallway: $260 per person____

b. Upgraded Accommodation: Hostel

Seven Nights, 4 beds, bathrooms in the hallways (only 8 available) $340 per person____

c. Semi Deluxe: Hostel

Seven Nights, 4 beds private bathrooms (only 8 available) $360 per person____

2. Pennsylvania Hotel: 32nd Street and Seventh Avenue

a. Seven Nights, Single $1200 per person____

b. Seven Nights, Double $600 per person____

CONFERENCE FEE: In addition there will be a Conference Fee of $150 ____

Note: There are a limited number of rooms in private homes for those who wish it.

Please contact us by April 1st if you are interested.

HOW TO PAY:

PAYMENT INCLUDES either 1 or 2 + CONFERENCE FEE = total.

Please make check payable to NAAE

PAYMENT MUST BE IN UNITED STATES CURRENCY (DOLLARS).

Transfer of funds: From your bank to: THE DIME SAVINGS BANK

Routing number: 226070296 1221 Madison Avenue The Dime has a $30 charge

Fax: 212-348-2118 www.dime.com

The NAAE Account Number is: 1048933

Or Mail directly to:

2001 INTERNATIONAL ALTERNATIVE CONFERENCE

OFFICE OF THE ALTERNATIVE, ADULT AND CONTINUING SCHOOLS AND PROGRAMS

45-18 Court Square - 2nd Floor Long Island City, NY 11101

ATTENTION: Alan Schulman