NARACES Conference Registration Form
October 5, 6, 7, 2001
Campus Center Hotel
University of Massachusetts
Amherst, MA
Please print or type. Do not email. Please mail in with check.
Name:
Institution Affiliation:
Preferred Mailing Address:
Telephone: office
home:
email
change of address: yes/no
new member: yes/no
Registration & Membership fees(please circle): Advance /On Site
NARACES Membership and Conference fee: $105 /$145
(includes $15 annual dues, join and save)
First year Counselor Educator (free membership) $90 /$130
Membership Fee only (not attending) $15
Non-member $115 /$155
Student Membership and Conference fee $60 /$90
Pre-Conference Institute $20 /Must be pre-registered
Additional luncheon tickets for guests $20
Total:_______
Choice of meal (please circle): Chicken Supreme/ Vegetarian Lasagna
Special dietary requests, please explain:
Conference Arrival Date: Departure date/time:
For Student registration rate: Faculty signature:
College/University:
Make checks payable to NARACES. Mail along with registration form by
September 6, 2001 to:
Carlotta J. Willis
Antioch New England Graduate School
40 Avon Street
Keene, NH 03431
Requests for cancellation refunds must be submitted by September 24, 2001.
The Campus Center Hotel is holding a block of rooms until September 12,
2001. This is peak foliage weekend in the region and you may not be able
to find accommodations elsewhere and certainly not at this rate ($65
single, $75 double), so book early. Request BLOCK # 437. Campus Center
Hotel, University of Massachusetts, Amherst MA 01003, 413-549-6000 ext.
7714. Discounted parking permits can be obtained from the hotel desk clerk
and the NARACES registration staff.