AASSA Conference Registration & Hotel Reservation Form

First Name:

Last Name:

School: Lincoln-The American International School American Cooperative School-Bolivia American Int'L School of Bolivia Santa Cruz Cooperative School American School of Belo Horizonte American School of Brasilia American School of Recife Associacao Escola Graduada De Sao Paulo Chapel School-Escola Maria Imaculada Escola Americana De Campinas Escola Americana Do Rio De Janeiro International School of Curitiba Our Lady of Mercy Pan American Christian Academy Pan American School of Bahia Pan American School of Porto Alegre Pueri Domus School The INT'L School of Nido De Aguilas Colegio Albania-Colombia Colegio Bolivar Colegio Jorge Washington Colegio Karl C. Parrish Colegio Nueva Granada Colegio Panamericano Gimnasio Ingles The Columbus School Lincoln School-Costa Rica Academia Cotopaxi Alliance Academy International American School of Quito Colegio Americano de Guayaquil Inter-American Academy of Guayaquil American School of Guatemala Georgetown International Academy Union School-Haiti Discovery School-Honduras Escuela International Sampedrana International School of Curacao American Nicaraguan School American School of Asuncion-Paraguy Colegio Franklin Delano Roosevelt International School Port of Spain Uruguayan American School Colegio International de Carabobo Colegio International de Caracas Colegio International Puerto La Cruz Colegio Jefferson Escuela Bella Vista Escuela Campo Alegre Escuela Las Morachas International School of Monagas

Other:

Position at School:

Email Address:

Arrival Date: mm/dd/yyyyy

Departure Date: mm/dd/yyyy

Type of Room:

Single Room:

AASSA-Members $700.00

Non-Members $950.00

Double Room Sharing With:

AASSA-Members $700.00

Non-Members $950.00

3-night package includes:

Hotel stay for 3 nights, Cocktail Reception on Sunday Evening, breakfast, lunch and coffee breaks.

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Please e-mail this form to Esther Nicolau at enicolau@bellsouth.nett