Women in the Military Today

Conference Registration Form

10—11 May 2007

Women in Military Service for America Memorial, Arlington , Virginia

@ Arlington Cemetery

Name:__________________________________________________________________

Title & Organization:_______________________________________________________

________________________________________________________________________

Address: ________________________________________________________________

City: ____________________ State or Country: ___________ Zip Code: ____________

Phone: _______________ Fax: ______________ E-mail: _________________________

Attending: ___Both days ___ Thursday, 10 May ___ Friday, 11 May

Special needs (including dietary): ____________________________________________

Overnight accommodations: WREI/AND have reserved a limited number of rooms at the Rosslyn Key Bridge Holiday Inn in Arlington, VA. Booking is on a first come first serve basis. The hotel is conveniently located on the Blue and Orange Metro Lines and is one stop away on the Blue Line from the conference site (stop: Arlington Cemetery). The conference room rate is $209 + tax. (or Government rate if applicable). To book your room, call 703-807-2000 and give code “WRI” to ensure you get conference rates. Rooms must be booked no later than 09 April 2007. WREI can also provide information to you on other possible accommodations.

We will provide a list of attendees with contact information to those at the conference. Check here if you don’t wish to be listed _______ .

Registration Fee: $70, ($40 for active duty, reserve and Guard members paygrade 03 and junior; or full-time students who could not otherwise afford to attend. Students, please include a copy of your student ID.) Fee includes breakfast and lunch both days. One day fee is $40 ($20 for military 03 & below or full time students). Arrangements can be made to pay at the door or by Government Reimbursement Order.

Method of Payment: Check: _____ (Make payable to WREI)

Credit Card: (circle type) VISA Master Card American Express

Credit Card Number: __________________________________________________

Expiration date: Name as on the card: ___________

Arrangements can also be made to pay at the door or to pay with a government reimbursement order.

Fax to: 703-812-0687 or mail to WREI 3300 N. Fairfax Dr Suite 218 Arlington, VA 22201.

Please register no later than 05 May 2007. Do not e-mail registration forms with credit card information.

Expiration date: __________ Name as on the card: _____________________

Expiration date: Name as on the card: ___________