For further information on the Beijing Plus Five Global Feminist Symposia, please contact Tejal Jesrani at the National Council for Research on Women, tjesrani@ncrw.org, phone 212 785-7335, or Maureen Fadem at the Center for the Study of Women and Society, by email: csws@gc.cuny.edu, phone: 212 817-2020, or fax to: 212-817-1614 .

Please complete one form for each person attending the Symposia and return the form as soon as possible.

_____________________________________________________________ Name

_____________________________________________________________ Title/Institution

_____________________________________________________________ Address

_____________________________________________________________ City/State/Zip

_____________________________________________________________ Telephone/Fax/Email

____ I would like to register for the four day symposia program. ($250)

____ I would like to register for only one day of the symposia program. ($100) Indicate the day ____ Monday ____ Tuesday ____ Wednesday ____ Thursday

____ I am affiliated with an NCRW member center and would like to register for the symposia. ($150)
Name of member center: ________________________________________

____ I am affiliated with a NYC grass roots organization that provides service to women and/or girls, and I would like to register for the symposia*. ($150)
Name of Organization: ___________________________________________

____ I am affiliated with the CUNY Graduate Center and would like to register for the symposia. ($40)
Name of CUNY Graduate Center Department: _________________________

____ I would like to register as a non-CUNY Graduate Center student. ($60)

Payment Options

For Credit Card Payments fax to: 212-817-1614, e-mail to: continuinged@gc.cuny.edu or, to register by phone call: 212-817-8215

Type of card: ______ Master Card _____ Visa

Card # ____________________________________________

Expiration date: _____________________

Payments by check: make check payable to: The Graduate Center, CUNY, mail to: CUNY Graduate Center, Continuing Education & Public Programs 365 Fifth Avenue, Room 8111, New York, NY 10016-4309, Attention: Beijing Plus Five Symposia

____________________________
*Some scholarship money will be available for NYC grass roots organizations. Please call Maureen Fadem at 212 817-2020 for information.