NYS AAUP Conference Fall 2011 Registration

Please use this form to register for the NYS AAUP Conference Fall 2011 at Niagara University

Questions? Please email: Tom Policano, NYS AAUP Executive Director

Subject:

Personal Information:

First & Last Name

E-mail

Street Address

City, State Zip

Institution

Chapter Information:

Are you an AAUP Member

Yes

Does your Institution have an AAUP Chapter

Yes

If Yes; What kind of chapter is it?

Collective Barganing

Advocacy

Do you get the NYS Academe newsletter?

Yes

Conference Registration:

Would you like us to reserve a room for you for Friday - October 14, 2011 at:

Barton Hill Hotel, 100 Center St., Lewiston, NY 14092 (716) 754-9070 ($119/night)

(Note: room registration deadline is October 1, 2011)

Yes

Will you be attending our Open Forum Friday 4:00 - 5:30 PM, October 14, 2011

(Note: NYS AAUP Leadership will meet in clossed session from 1-4 PM prior to the open forum)

Yes

Will you be attending our banquet Friday 7:30-10:30 PM, October 14, 2011 at:

TBA

Keynote Speaker: TBA

($28/person to be collected at dinner)

Yes

Will you be attending the open meeting and Open Forum Saturday 8:30 AM -1:00 PM, October 15, 2011:

Yes

Are there any particular topics you would like to have discussed at the NYS AAUP Fall Conference?

General Comments:

Thank you. Please or

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