R E G I S T R A T I O N F O R M

2006 Annual Conference

Education and Politics

November 16 - 18, 2006

9:00 a.m. – 5:00 p.m.

Arizona Western College – Yuma, Arizona

NAME: Ms., Mr., Mrs., Miss, Dr.__________________________________________________

(Circle one.)

ADDRESS: ___________________________________________________________________

Number and Street

___________________________________________________________________

City State Zip Code

___________________________________________________________________

Phone Number E-mail

INSTITUTION: _______________________________________________________________

AACHE Member? Yes _____ No _____ Send Membership Information ______________

REGISTRATION FEE: Make Check Payable to: AACHE-Yuma Chapter

$75.00 Early Registration (August 1- Nov 1)________________________________$__________

$100.00 Late Registration (Nov 2 – Nov 17)________________________________$__________

$ 25.00 Students (Limited Waivers Available)________________________________$__________

$25.00 additional fee for Baja Shopping and Dining on Friday evening.__________$__________

TOTAL ENCLOSED________________________________________________$__________

Send Your Registration Form and Fee to:
Ms. Rosalia Delgado, Treasurer.
P. O. Box 929
Yuma, Arizona 85366

CREDIT CARD PAYMENTS CALL: Rosalia Delgado (928) 344-7628

Telephone (928) 344-7628

QUESTIONS ?: Fax: (928) 344-7710

Email: rosalia.delgado@azwestern.edu

Limited rooms available
first come first serve
$89.00 + tax/night
1550 S Castle Dome Avenue
Yuma, Arizona 85365
Contact: Rebecca Miller
Telephone: (928) 782-9510 Must reserve by 11/15/2006
$109.00 + tax/night (Standard Room)
$119.00 + tax/night (Studio Suite)
160 E. 16th Street
Yuma, Arizona 85365
Phone: (928) 329-5600
Fax: (928) 329-5601 Must reserve by 11/05/2006
Block Code: NAU
$99.00 + tax/night
1901 E. 18th Street
Yuma, Arizona 85365
Phone: (928) 782-9300 ext. 4907
Fax: (928) 782-9301

AACHE is a non-profit organization.

Donations accepted.


Limited rooms available first come first serve $89.00 + tax/night 1550 S Castle Dome Avenue Yuma, Arizona 85365 Contact: Rebecca Miller Telephone: (928) 782-9510	Must reserve by 11/15/2006 $109.00 + tax/night (Standard Room) $119.00 + tax/night (Studio Suite) 160 E. 16th Street Yuma, Arizona 85365 Phone: (928) 329-5600 Fax: (928) 329-5601	Must reserve by 11/05/2006 Block Code: NAU $99.00 + tax/night 1901 E. 18th Street Yuma, Arizona 85365 Phone: (928) 782-9300 ext. 4907 Fax: (928) 782-9301