2023 Conference Registration Form 1. PLEASE FILL IN EACH BLANK:Name* First Last Email:* Preferred name for badge:Branch:Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 2. Check all that apply: First Time Attendee AAUW-VA Branch Member Past AAUW-VA State Board President Past AAUW-VA State Board Member Current AAUW-VA Branch President Current AAUW-VA State Board Member Presenter AAUW National Member Non-AAUW Member Other AAUW State Member NOTE: All deadlines indicated in this form are the dates by which this registration form, including merchandise orders, and check payments must be received, not by the postmark. Please mail this form, with a check, at least one week before the received by dates to allow delivery by the deadlines. 3. CONFERENCE REGISTRATION, INCLUDES SATURDAY LUNCH AND BREAK CHECK THE APPROPRIATE BOX: Member (registration received by February 25) $100 Member (registration received by February 26-March 7) $125 Non-member (registration received by February 25) $120 Non-member (registration received by February 26- March 7) $145 Total $0.00 FINAL REGISTRATION DEADLINE IS March 7, 2025. NO REFUNDS AFTER THIS DATE.4. Guest Lunches ___________at $55 each (lunch only) Guest Lunch Total $__________Guest Name __________________________Guest Name_____________________________5. ALL LUNCH ATTENDEES: Describe any food allergies and special dietary needs. Please be specific by attendee name.6. ACCESSIBILITY NEEDS: Please be specific. 7. OPTIONAL PRE-CONFERENCE ACTIVITIES ON FRIDAY, MARCH 28:CHECK ALL THAT APPLY: TOURS (Offered concurrently, beginning at 2:00 p.m; advance registration required; advance payment for Freedom House Museum required) Women’s History Walking Tour (free) Freedom House Museum ($4) Friday Evening 100th Anniversary Social (cash bar) I plan to attend this. 8. CONFERENCE & 100th ANNIVERSARY MERCHANDISE: Merchandise orders MUST BE RECEIVED BY February 25 in order to be processed. Reminder: Please mail this form and check at least one week before the received by dates to allow delivery by the deadlines.Merchandise must be picked up at the conference. NO REFUNDS.Conference mug @ $15 ____________ Quantity, Mug Total $ ______________Centennial stemless wine glass @ $12 ___________ Quantity, Glass Total $ __________IMPORTANT: ADD TOTALS FROM SECTIONS, 3, 4, 7, AND 8. Enter sum as Final Total $___________ INSTRUCTIONS: Register, purchase merchandise, and pay online by the appropriate received by deadline, OR complete all pages of this registration form and mail at least a week before the deadline with a check payable to AAUW-VA to Sharon Zackula, 1433 Pathfinder Ln, McLean, VA 22101-3507, Attn: 2025 Conference, to be received by the appropriate deadline. If you have questions or need additional information, please contact Sharon at sharon.zackula@gmail.com or (703) 475-4310 or Sandy Lawrence at sandyaauw@juno.com or (703) 569-1588. Looking forward to celebrating our 100th Anniversary with you in Alexandria March 28-29, 2025. Δ
