| Name |
|
| Address |
|
| |
|
| City |
|
| State/Province |
|
| Zip/Postal code |
|
| Work phone |
|
| Home phone |
|
| Fax |
|
| Email |
|
| I represent (member board or organization): |
|
| Please check all that apply: |
Social work board member
Social work board staff
ASWB board of directors
ASWB committee chair
Committee:
ASWB Committee member
Former ASWB President
First-time Attendee
Other; Specify:
|
|
OPTIONAL TOUR
Saturday, May 17
|
I will attend the tour.
I will NOT attend the tour.
|
| Payment due: |
people @ $40.00(US) each =
Payment can be made by certified check, money
order or personal check payable to ASWB and
mailed to:
ASWB, 400 South Ridge Parkway, Suite B, Culpeper,
VA 22701
|
| If you are NOT A member of the
ASWB Board of Directors, or the 2008 Nominating
Committee, you are responsible for arranging
your own transportation and lodging. Please
consult the meeting
information package for contact phone numbers
and approximate rates. |
ALL members of the
ASWB Board of Directors, 2008 Nominating Committee,
and ASWB Committee Chairs should complete
the following:
|
| Transportation |
|
I will be driving to the meeting. Total round
trip mileage from your home to Whitefish, MT:
Mileage will be reimbursed up to the cost
of the lowest round-trip airline ticket. You
will be contacted if your mileage will exceed
the cost of an airline ticket.)
I will be traveling via air and will contact
Covington
Travel (888-295-0004).
Our primary agent is Brenda Martin, but there
are several agents available to help you.
|
| Hotel |
| Your hotel reservation will be
made for you according to the dates you indicate
below. Please do not call the hotel directly.
If you choose arrive before May 14 or extend your stay beyond the
night of May 17, you will be responsible for
the additional room nights when you check out
of the hotel. Indicate dates for your entire
stay below: |
| Check in date: |
|
| Check out date: |
|
| Room requests: |
|
| |
