Register for Hear Us Now! 2008

If you would prefer to Register by US Mail, or fax, click here to download the PDF form

Hear Us Now!
Raising Women's Voices National Conference
April 17 - 18, Boston, Massachusetts
Hosted by Simmons College

Dress for the conference is casual. Continental breakfasts, lunch, and breaks will be provided.

Registration Form

*NAME

*ORGANIZATION
or POSITION
or REPRESENTING

NAME TAG
(IF DIFFERENT)

ADDRESS 1

ADDRESS 2

*CITY

*STATE

ZIP

PHONE: *WORK

MOBILE

FAX

*EMAIL

* items in red are required information

Special Accommodations

I require a vegetarian diet. Other diet needs:

I require special disability accommodations(please specify):

Other (please specify):

Hotel Information

Call the hotel directly for reservations and tell them you are with HEAR US NOW! Room reservations must be received by the hotels no later than March 18th, 2008 to ensure availability, as well as the conference rate.

I am reserving a room at the Courtyard by Marriott, 275 Tremont St., Boston, MA, Tel: 617.426.1400
(Rate is $219, plus tax. Please ask for in-house sales.)

I am reserving a room at the Hampton Inn, Boston Crosstown, 811 Mass Ave., Boston 02118. Tel: 617.445.6400
(Rate is $200, plus tax, 4/17 only.)

Neither (I have my own room accommodations arranged)

I would like to share a hotel room with another advocate. You may give my name and number to others.

Registration Rates

Early Bird Rate, by March 18th: $100. Regular Registration Rate: $150.

There are limited funds available to provide registration scholarships for low income participants.
Please send your request to receive a scholarship by e-mail.

IMPORTANT!

To complete your Registration:
1- click "Submit" button above
2- you will be redirected back to this page
3- click the "Pay Now" PayPal button to pay your registration fee

Thank you!

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