Conference Registration
MASP Annual Meeting
February 25, 2010
Radisson Hotel, Lansing, MI
Michigan After-School Partnership
1627 Lake Lansing Road, Ste B
Lansing, MI 48912
Phone: 517-371-4360 x17
Fax: 517-371-5860
Registration Deadline is February 16, 2010.
Attendee Information
Vegetarian
Registration Fees
Workshop Information
Please register for one workshop during each session. Read more about the workshops at www.MIafterschool.org/annual-meeting-2010.
Workshop Session 1: 9:30 - 10:30 a.m.
Workshop Session 2: 10:30 - 11:30 a.m.
If registering for a table, please list the other five (5) individuals below, indicate if they need a vegetarian meal and which workshops they will attend.
Vegetarian
Workshop Session 1
Workshop Session 2
Submission of payment can be done by printing this form and mailing it to:
MAA-MASP Annual Meeting
P.O. Box 16128
Lansing, MI 48901-6128
Or
By clicking the submit button below with the credit card information completed above or paying online via PayPal.
Payments must be received by February 16, 2010.
Payment
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If paying via paypal click the approprate link below. You also must click Submit at the bottom of the page.
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Attendee Name:
Organization:
Address:
Address 2:
City:
State:
Zip:
County:
Phone:
Email:
Card Number:
Expiration Date:
Cardholder Name:
3 Digit Security Code:
Name 1:
Name 2:
Name 3:
Name 4:
Name 5:
Dietary Restrictions:
