MNIAAI_Logo_2006_No Print.JPG (85293 bytes)     2005ConferenceRegistrationForm    

 

PRINT THIS FORM AND MAIL IT TO THE ADDRESS BELOW -  PLEASE PRINT OR TYPE

NAME
TITLE
AGENCY
MAILING ADRESS
CITY STATE ZIP
PHONE E-MAIL
SOC. SEC. # DATE OF BIRTH

Early Registration:

    Members $195.00                                 ________

    Non-members $220.00                        ________

After March 1, 2005:

    Members $205.00                                 ________

    Non-members $230.00                        ________

One Day Fee $130.00                                ________

Additional Banquet guest $20                 ________

Total:   ________

_____ I plan to attend banquet
_____ I will need child care during banquet (free)

CHECKS PAYABLE TO: MN CHAPTER IAAI

Mail registration form with fees to:
MN Chapter IAAI
Jeffrey G. Schadegg, Secretary
3735 Cody Court
Inver Grove Heights, MN 55076-3368

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