CMC3-South Twenty-Fourth Annual Conference
March 6-7, 2009
Advance Registration must
be postmarked by February 23, 2009
Last:
First: M.I.
College/Affiliation:
Mailing
Address: Street:
City:
State: Zip:
Preferred
Phone: (____)________________ □work □home □cell
Email:
Please use a separate form for
each registrant. Copy this form freely.
Friday:
The
Friday evening reception/entertainment is free.
Please note
here the number in your party who plan to attend the
Friday
Evening reception/entertainment:
________
Saturday:
Registration and Membership:
Attending
the conference, annual membership is included:
Advance
Registration,
postmarked no later than February 23,
2009 $ 90
Lunch included:
Vegetarian ______ Non-Vegetarian _____
Late on-site
registration (lunch only if available):
$120
Not
attending the conference, annual membership:
$ 20
I wish to
make a tax deductible contribution to CMC3-South: $_______
Total amount included: $_______
Make
check payable to CMC3-South
Return
advance registration to:
Mark Greenhalgh