March 2 - 4, 2009 Hilton Garden Inn Independence, Missouri
COMPLETE THIS FORM AND SEND IT IN, THEN MAIL YOUR CHECK or Return to the Program Page and select the Paypal Option
PLEASE COMPLETE THE FOLLOWING INFORMATION!
NAME OF PRIMARY ATTENDEE:
STREET:
CITY:
STATE: ZIP:
DAY PHONE:
EMAIL:
Membership Info - I am a member of:
NAME OF 1st ADDITIONAL ATTENDEE:
NAME OF 2nd ADDITIONAL ATTENDEE:
NAME OF 3rd ADDITIONAL ATTENDEE:
NAME OF 4th ADDITIONAL ATTENDEE:
I will pay by:
Credit Card using Paypal
Make check Payable to MO-KAN Conference and Mail to:
Select the Sessions Desired:
Full Conference:
Must be postmarked or submitted on or before 2/10/2009 to be eligible for the early bird drawing
Enter number of one-day registrations at $95 per person.
Enter number for banquet at $40 per person (not included in conference registration).
Enter number attending Internet Intensive Workshop.
Non-members:
Enter number of additional persons from the inn at $115 each
Enter number of one-day registrations at $115 per person
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