Registration for: Annual Conference - June 22-25, 2008 Contact Information: Fields with * are required: *Name: *MCOLES number: *Title: *Department: Mailing Address: *City: *State: *Zip: County: *Phone: Fax: Email: Spouse Name: (note: a full registration includes 2 banquet tickets, one for both Monday and Tuesday - additional tickets for spouse or guest are extra; see below)
Full Registration: Member $235 Life Member $110 Non-member $285 Banquet Tickets: (note: banquet tickets are non-refundable) Monday Awards Banquet $35 each Tuesday Western Banquet $35 each Partial Registration: You may register for any number of half-day sessions: Tuesday AM only $75 Tuesday PM only $75 Wednesday AM only $75 Amount Charged: Card Type: VISAMasterCard Name on Card: Card Number: Expiration Date: JanFebMarAprMayJunJulAugSepOctNovDec / 2008200920102011201220132014