PRE-REGISTRATION FORM

CLUW NATIONAL EXECUTIVE BOARD MEETING
June 5-8, 2003
Arlington, Virginia
Hilton Crystal City

MY $20.00 NEB/CONFERENCE REGISTRATION FEE IS:

ENCLOSED__________          TO BE PAID IN ARLINGTON___________

PLEASE RETURN THIS FORM BY MAY 19 WITH YOUR $20 REGISTRATION FEE (make checks payable to CLUW):

Coalition of Labor Union Women, c/o Yvonne Cohen
1925 K Street, NW Suite #402, Washington, DC 20006
Phone (202) 223-8360 or FAX (202) 776-0537

Name_________________________________________________       Phone_______________________

Address______________________________________________________________________________

City___________________________________________   State___________   Zip__________________

E-Mail _____________________________    Union Affiliation___________________________________

My position on the CLUW National Executive Board is:
National Officer ___    Union Delegate ___    Union Alternate ___    
Chapter President ___    Chapter Delegate ___    Chapter Alternate ___     
State Vice President ___    Alternate State Vice President___

OTHER ATTENDEES: State Coordinator ___    NEB Guest Observer___

THE DEADLINE TO MAKE HOTEL ROOM RESERVATIONS IS MAY 19, 2003.