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MASA 2010 Spring Leadership Conference
True and Proven Leadership


April 18 - 20, 2010
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 Session (Sunday, April 18)

$225.00 - Conference Registration (Monday & Tuesday, April 19 - 20)

$325.00 - Conference Registration and Membership

I would like to join MASA - $125.00 - MASA Annual Membership Dues

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 masa4@comcast.net.

Only conference cancellations received by April 9, 2010 will be eligible for refunds. Contractual obligations with the conference facilities make it necessary that we strictly adhere to this deadline.

A POG (Personalized Online Group) page is created as a link that specifically designates our group in making hotel reservations. It provides the group rate of $114. It is very convenient and user friendly. The web page address is: http://www.hilton.com/en/hi/groups/personalized/JANJHHF-MASA-20100418/index.jhtml .

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©MASA
Mississippi Association of School Administrators
Last Updated: February 20, 2010
Designed by: Rick Smith

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