Registration Form

Act 45 PIL Creating Learning Communities Summer Institute

Name:

Position:

School District:

School Name:

School Address:

School District Address:

Phone:

Fax:

School Email:

PPID# or SS#:

Purchase Order Number:


PAESSP Member Early Bird - Total $300*
(if received by 2/15/09)
Non-Member Member Early Bird - Total $375*
(if received by 2/15/09)
PAESSP Member - Regular - Total $350*
(After 2/15/09)
Non-Member Member - Regular - Total $475*
(After 2/15/09)

*Includes cost of books, some additional meals, instructor cost and instruction rooms. Cost does not include your hotel room. The room rate is $119 per night for conference dates July 27-29. (This rate can be extended to Friday, July 24 and/or Saturday, Aug. 1 - based on availability, if you want to bring your family to Gettysburg for a vacation.) For hotel reservations, call 866-845-8885 and identify your reservation with PAESSP SUMMER INSTITUTE. The deadline for reservations is June 26, 2009.

Please include your purchase order number for billing purposes. Credit card payments are not accepted. Register now to receive the Early Bird Discount – before Feb. 15, 2009. For more information on the Summer Institute, please contact the PAESSP office at (717) 732-4999.

If you are a non-member attending this event, why not join first and receive the $125 discount for registering in this program? You’ll enjoy all the membership benefits including:

• State and national membership
• Legal coverage related to job protection and liability
• Award-winning publications from the state and national association
• Free advice and consultation on school matters
• Act 93 consultation and resources
• Legislative updates and influence
• An opportunity to become part of shaping the state principals’ agenda and focus.