Online Annual Meeting Registration Form

All conference proceedings are at the University of Massachusetts -- Dartmouth
285 Old Westport Rd., North Dartmouth, MA 20747; 508/999-8000
The campus is wheelchair accessible.

JwJ has made arrangements with two airlines. To make airlines reservations for JwJs Annual Meeting you must reference the event. You can fly into Providence or Boston. For most, it will be cheaper and easier to get to the U Mass campus from the Providence airport.

Southwest Airlines 1-800-433-5368 I.D Code W6480

US Airways 1-877-874-7687 Gold File No. 93191424

Name/Organization
Address
City, State, Zip

Day Phone

Evening Phone

Fax

Email

Registration covers conference expenses, materials, and six meals (dinner Friday to lunch on Sunday).

Check here for advance registration, postmarked by 6/1 $105.00

Check here for regular registration, after 6/1 $130.00

Check here for student, low-income, or striking worker registration $65.00

Housing at the University of Mass campus: single room $35/night with a/c and $27 per night without a/c.
Call Jobs with Justice for alternatives at area hotels (they are limited!)

Please reserve a dormitory room for me on:

Thurs Fri Sat Sun nights (check which ones)

with a/c @ $35/night or without a/c @ $27/night (check which one)

For a total housing cost of:

I would also like to attend the Student--Labor Pre-conference (FREE)

I would also like to attend the Religion--Labor Pre-conference ($15)

I would also like to attend the Prison--Labor Pre-conference ($15)

I would also like to attend the Pride at Work Pre-conference ($15)

Check here if you will need child care (We must receive all child care requests by 6/1.)

Number of children: Ages:

Check here if you would like vegetarian meals

Check here if you have other special needs:

Check here if you need translation. Language:

I will pay my registration fee onsite $130.00

TOTAL:

I have enclosed a check payable to Jobs with Justice for total amount

Please charge the TOTAL amount above to my credit card:

MasterCard Visa

Name on card:

Card No: Expiration Date:

OR PRINT AND RETURN FORM TO: Jobs with Justice Registration 501 Third St., N.W. Washington, D.C. 20001 Tel: 202/434-1106 Fax: 202/434-1477 Web: www.jwj.org