Registration Form, page 1 -- Designed to be Printed -- (It is not possible to register over the Web or via email)

13th CONFERENCE OF THE INTERNATIONAL NETWORK OF PRODUCTIVE SCHOOLS
IN
NEW YORK CITY

REGISTRATION FORM
May 2nd - May 9th

Mail to: Alan Schulman, Conference Director
2001 INTERNATIONAL ALTERNATIVE CONFERENCE
OFFICE OF THE ALTERNATIVE, ADULT AND CONTINUING SCHOOLS AND PROGRAMS
45-18 Court Square - 2nd Floor
Long Island City, NY 11101

or Fax to: 718-752-7446

NAME__________________________________________________________________

ADDRESS_______________________________________________________________

COUNTRY______________________________________________________________

TELEPHONE_____________________________________________________________

INSTITUTION____________________________________________________________

ADDRESS________________________________________________________________

COUNTRY_______________________________________________________________

TELEPHONE______________________________________________________________

FAX____________________________________________________________________

EMAIL___________________________________________________________

LANGUAGES SPOKEN AND UNDERSTOOD

______________________ ______________________ _________________________

Hotel and transportation information will be sent after receipt of registration.

Registration Form, page 2: Conference Charges