4515 Willard Ave. #2210
Chevy Chase, MD 20815
eniko.basa at verizon dot net
Registration Form
Sat, 29 Aug 2009 07:01:03 EDT by admin, 845 views
American Hungarian Educators Association
34th Conference
3-5 June 2010
University of Szeged, Hungary
Please print/copy this form and mail to:
Enikő M. Basa (eniko.basa@verizon.net)
4515 Willard Avenue
Apt. 2210
Chevy Chase, MD 20815
Name:________________________________________________
Address:______________________________________________
______________________________________________
Email:________________________________________________
AHEA Membership Dues for 2009
Individual: $15.00 __________
Couples: $25.00 __________
Students/Retirees: $10.00 __________
AHEA Registration Fee Before 30 April, 2010 $60.00 __________
After 30 April, 2010 $80.00 __________
Students $20.00 __________
________________________________________________________________________
Friday Reception
Saturday Banquet
Sunday Program
Suggested Donation to Transylvanian Scholarship Fund $10.00 _____
TOTAL AMOUNT ENCLOSED $_____________
Make check payable to AHEA
You can also sent payments directly to enikombasa at gmail dot com via PayPal.