"Leading for the Future"

"Leading for the Future"
2009 UMACRAO Annual Meeting
October 28-30, 2009

Conference Registration Form

First Name *

Last Name *

I am registering as a vendor: (Check box if yes)

Address *

City *

State *

ZIP *

Institution/Company *

Title

Phone *

E-mail *

Are you a first time attendee? *

		Yes
		No

I became a UMACRAO member in:

I am registering for: *

		Full Conference Registration: (Includes all meals & breaks) $125
		Wednesday Only: (Includes reception & opening speaker) $25
		Thursday FERPA Package: (Includes two FERPA sessions and Lunch) $50
		Thursday Only: (Includes Breakfast, Lunch, Banquet and breaks) $100
		Friday Only: (Includes Breakfast & Lunch) $50
		Banquet Only: (For non-conference participants) $40

Banquet Meal Selection (All meals will include a starter salad and dessert): *

		Chicken Veronique - Lightly Breaded Chicken Breast topped with Green Grape & Shallot infused Cream Sauce. Served with parsley buttered potatoes and a fresh vegetable blend.
		New York Cut Sirloin Steak - 8 oz Tender Grilled New York Strip. Served with parsley buttered potatoes and a fresh vegetable blend.
		Boursin Cheese Manicotti - Flavorful Boursin Cheese and Sauteed Seasonal Vegetables are rolled in a tender Pasta Shell and topped with Alfredo. (Vegetarian Option)

Are you in need of special Physical or dietary accommodations?

Go to confirmation page confirm your information then click send. You will receive an e-mail confirmation to serve as your invoice.
Please print out your invoice and send it along with your payment (we are unable to accept credit card payments) to:

UMACRAO Conference Registration
Susan Battles
Concordia University
275 Syndicate St. N.
St. Paul, MN 55104

You may want to submit your payment to the State of Minnesota for direct deposit.
We can receive funds by electronic funds transfer (EFT). Our vendor number is 200064599 00.

Questions about registration can be e-mailed to battles@csp.edu

Your Conference Registration Fee Amount Due:

Late Registration fee of $10 applies after October 8, 2009. No refunds after October 20, 2009.

* = Input is required