2010 Fall Conference
October 27-29, 2010
 
Member On-line Payment / Registration:

Name: 

 Name on Badge: 

Organization: 

Address: 

City/State/Zip:  ,

Phone: 

Fax: 

Email: 
 

Member Rates:

Member Registration:  $ (Before Oct 15 - Enter $235; After Oct 15 - Enter $255) 

Extra Tickets for Spouse/Guests:  Contact MEDC (pat-amick@showme.org) for extra amount needed for guests/spouses to attend any Fall Conference activity  $ *

New Member Breakfast - Thursday October 28, 2010

  Yes - please make a reservation for me to attend the New Member Breakfast.

  No - I do not plan to attend the New Member Breakfast or not applicable.
 

Grand Total:  $


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