April 13 - 15, 2008
Hilton Hotel - Jackson, Mississippi
Registration Form - Please type or print plainly
Name: Title:
District:
Address: E-mail:
City, State, Zip:
Phone: _ Fax:
Contact Person: E-mail:
Registration Fees
$125.00 - Pre-Conference Registration
¨ $200.00 – Conference Registration
$ 75.00 - Graduate Student Conference Registration
I would like to join MASA - $125.00 - MASA Annual Membership Dues (Oct. 1 - Sept. 30)
Method of Payment
Enclosed is my check # in the amount of $
Please bill my school district for purchase order #
Please charge my credit card #
Visa MasterCard DiscoverCard
Amount: Expiration Date:
Signature:
Make checks payable and mail to:
MASA, P. O. Box 326, Clinton, MS 39060 or fax to 601-924-7498
Registration confirmations will be e-mailed to the address listed on this form. We welcome inquiries regarding receipt of your registration.
Call 601-924-7498 or e-mail wjballard@comcast.net.
Only conference cancellations received by April 4, 2008 will be eligible for refunds. A $50.00 administrative fee for cancellations after April 4 will be assessed. Contractual obligations with the conference facilities make it necessary that we strictly adhere to this deadline.
Make room reservations directly with the Jackson Hilton Hotel by March 24, 2008 by calling 601-957-2800 or 1888-263-0524. Be sure to request MASA group rates of $114 when making reservations. Guaranteed reservations must be cancelled forty-eight hours in advance.
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