National Association of University Women
42nd Annual Southwest Sectional Conference
Conference Host: South Bay Branch
February 4-5, 2011
Holiday Inn - 19800 S Vermont
Torrance, CA 90503
(310) 781-9100 or (800) 465-4329

Registration Form
(Use one form per Registration and please print or type)

Registration Fee                                  $150       (Postmarked on or before December 20, 2010)
Late Registration Fee                           $155       (Postmarked on or before January 15, 2011)
On-Site Registration                            $165       (Registration after January 16, 2011 is only available onsite)
Registration Deadline                          January 15, 2011

Name                      _______________________________________________________________________

Street Address:    _______________________________________________________________________

City:                        _______________________________  State:  ___________   Zip Code:  ____________             

Telephone:           _______________________________  E-mail: _________________________________

Branch:                  _______________________________

(Check Appropriate Items)
National Officer: ( ) ____________________________  Sectional Officer: ( ) _______________________
Past Sectional Director ( )             Branch President ( )             First Time Attendee ( )                Member ( )        

Registration Fee:  ( ) Check                                                                                                Amount ___________________

Additional Tickets for Guest:
                Friday Evening Reception:               $50/ticket             #Tickets _____     Amount ___________________

                Saturday Breakfast                         $25/ticket             #Tickets _____     Amount ___________________

                Saturday Lunch                               $40/ticket             #Tickets _____     Amount ___________________

Total Amount Submitted (Member & Guests):                                                           Amount ___________________

If you would like a vegetarian meal for yourself or guest, check below:
Vegetarian Meal:  ( ) Reception  ( ) Breakfast  ( ) Lunch                         ( ) Guest     ( ) Member

Reception Attendance:  ( ) Yes      ( ) No

Any cancellations must be submitted in writing and post marked no later than January 15, 2011.  No refunds for “No Shows.”

Registration:                                         3:30 p.m. – 6:30 p.m., Friday, February 4, 2010
Additional Registration                       7:15 a.m. – 8:30 a.m., Saturday, February 5, 2010

Please indicate committee preference:
( ) Finance/Credentials          ( ) Recommendations      ( ) Resolutions          ( ) Rules      ( ) By - laws     ( ) Evaluation

Pay by check:  Give completed registration form with check made payable to your branch and give to designated person.  Branch Treasurer is requested to collect all registrations, make one check payable to NAUW - South Bay Branch and mail to:
                                                                                                Margarette Crockett
                                                                                                2027 West 97th Street
                                                                                                Los Angeles, CA 90047