COALITION OF STATE UNIVERSITY AID ADMINISTRATORS
COSUAA
Conference Registration Form
2017 COSUAA ANNUAL CONFERENCE
April 29 – May 2, 2017
Hotel Albuquerque – Albuquerque, NM 87104
505-843-6300 or 866-505-7829
Name:
_____________________________________________________
Institution:
_____________________________________________________
Address:
_____________________________________________________
_____________________________________________________
City:
Telephone:
_____________________ State: ________ Zip: ___________
______________________ E-mail ________________________
Member Conference Registration Fee:
Late Member Conference Registration Fee:
$350 (payment must be received by 03/17/17)
$400 (after 03/17/17 if space is available)
*Non-Member Registration Fee:
*Non-Member Late Registration Fee:
$550 (if space is available and payment must be
received by 03/17/17)
$600 (after 03/17/17 if space is available)
Refunds Issued Until:
03/17/17
*Non-Member Registration fee includes annual membership for July 1, 2016-June 30, 2017.
PLEASE MAKE CHECKS PAYABLE TO: COSUAA
If you have special dietary or accessibility needs, please indicate on the lines below.
_____
Mail to:
S. Kay Lewis, COSUAA Treasurer
Office of Student Financial Aid
University of Washington
Box 355880
Seattle, WA 98195
FAX (206) 685-1338 – include copy of P.O. or check
Please direct questions to Kay Lewis ([email protected]) or Linda Olsen (206) 685-2353
([email protected]). We regret that we cannot accept payments by credit card.
Tax ID No.:
33-0958025