Texas Association for Literacy and Adult Education
2004 Conference
January 29 – 31, 2004
Omni San Antonio Hotel


LITERACY:
cartoon image of a man with his arms spread enclosed in a blue circle
A Break Through!

For Hotel Reservations
Omni San Antonio Hotel
9821 Colonnade Boulevard
San Antonio, TX 78230
210-691-8888

Room Rates: Single-$80, Double-$90, Triple-$100, Quad-$110

Deadline for Hotel Reservations:
Sunday, December 28, 2003


Pre-Conference Activities:
Adult Literacy Organizational Training Project, Austin Community College, contact Jeff Cohen 512-223-7056 or jcohen@austincc.edu for information or registration.

Registration Form
Texas Association for Literacy and Adult Education
January 29-31, 2004

____________________________________________________________________________________________
Name                                                                                   Title

____________________________________________________________________________________________
Mailing Address                                                                    City                     State                   Zip

____________________________________________________________________________________________
Phone (evening)              Phone (day)                            E-mail

____________________________________________________________________________________________
Program Name                                           Business Address (if different from above)

 

Early Registration _____ $100.00 (member) _____ $115.00 (non-member)
Late Registration (After January 7, 2003) _____ $120.00 (member) _____ $130.00 (non-member)
One-Day Registration (Thursday or Friday) _____ $ 50.00  
Teacher Day Only Registration _____ $ 35.00
(Saturday, January 31, 2004 only)		  
Additional ticket for the President’s Reception OR Awards Luncheon _____ $ 25.00
 

NO ON-SITE REGISTRATION EXCEPT SATURDAY, TEACHERS’ DAY.
REGISTRATION DEADLINE IS JANUARY 23, 2004.
Registration cancellations MUST be received in writing no later than
January 19, 2004, to receive a refund.
An administrative fee of $25 will be assessed for each cancelled registration.

MEMBERSHIP FEES:
TALAE Membership (Full-time Adult Educator)                       _________ $ 15.00
TALAE Membership (Part-time Adult Educator 
and Supporting members)                                                   __________ $ 5.00

PAYMENT INFORMATION:
TOTAL Amount Enclosed.................................. $______________

List Special Needs_________________________________________________________________________

Check # _____________  Money order # _______________  Purchase Order # _________

______Please check here if you need an invoice mailed to your organization. The invoice will be mailed to the business address you print above.

* Make checks, money orders and/or purchase orders payable to TALAE. No credit cards accepted. Do not send cash. Cash payments will be accepted for On-site Registration.

* Mail this form and payment to:

Janell Baker, c/o Harris County Department of Education
6515 Irvington Blvd.
Houston, Texas 77022
Phone: (713) 692-6216
Fax: (713) 695-1976
email: jbaker@hcde-texas.org

Duplicate this form as needed and complete for each participant.