Registration Form for

2007 YDS Summer School
& Activist Conference
August 11-12, 2007
Local 1199 - New York, New York

310 W. 43rd Street between 8th & 9th Aves.

Full registration includes the weekend plus:

• extensive conference materials
• breakfasts, lunches, & party

Please complete the information below...
Registration:

$45 Special pre-registration Rate (payment must be made online or postmarked by Wednesday, August 8th)
$60 regular registration rate
$80 solidarity rate (extra funds will go towards travel scholarships for low-income individuals)
$100 bonus solidarity rate (like the solidarity rate, only you get a free t-shirt or poster for your extra financial support)
I have special financial circumstances and can't pay the above prices
Join YDS:

$10 YDS Membership - Special Conference Rate
Housing accommodations:
We will do our best to assist conference attendees with free housing. Housing accommodations are being provided on a limited first come, first serve basis.
Click here for a list of inexpensive hostels near the conference.
Type of Housing (Check all that apply)

I need free housing
I can afford and prefer to stay at a nearby hostel
I do not need housing (live nearby and not staying overnight)
I need housing for Thursday night (August 9th)
I need housing for Friday night (August 10th)
I also need housing for Saturday night (August 11th)
I also need housing for Sunday night (August 12th).
Car Pooling:
A great way to save money on travel is to carpool. Both sides save when gas costs are shared, and YDS encourages conference attendees to look into carpooling from their communities. YDS will help coordinate carpooling efforts for those who fill out the section below.

I am interested in carpooling with someone.
I need transportation from (list location).

I have car and am willing to take others.
I can provide transportation from (list location).
I have room for passengers.
Enter your information:
First Name
Last Name
Email Address
Address
City/State/Zip
Phone
School (if applicable)
Graduation Date (if applicable)
Organisation (campus, community, and/or union)
Age
YDS Member?
(check all that apply)
 Yes No Thinking about joining
Interested in starting a chapter
How did you first find out about the conference? YDS Website
CampusActivism.org
Listserv
Flyer
Friend
other
What are the issues that most interest you?:
Please enter additional comments or questions below:
Payment method:
(the $45 special pre-registration rate is only available if paid on-line or post-marked by August 8th)
Pay at the door (not good for pre-registration discount)
Pay by mail
Pay on-line with credit card (VISA or Mastercard only)

Once you have completed this form, please click the “Send Form” button below.
**IF YOU ARE PAYING ON-LINE WITH A CREDIT CARD, YOU MUST CLICK ON THE LINK PROVIDED IN THE PAGE THAT FOLLOWS ONCE YOU HAVE SUBMITTED THIS FORM. You will be sent to a separate on-line payment form.