61st Fall Conference
September 27th - 28th, 2010    

 

Corporation:                       Telephone:

E-mail address of person completing form:   P.O. Number  

          

                                   Please Print or Type

Name of registrant including spouse/guest
(spouse registration complimentary - cost of meals additional)

                                                         		 

Regis. Fee spouse/guest exempt
$210.00

9/28
Convention Center
Pres Bkfst*
$20.00

9/28
Marriott Hotel
Luncheon
$25.00

 

  

Total
$$
Name Title              
     
       
       
       
         
         
         
Delegate Name Delegate Address                

                                    

             Bill my corporation          Total Amount Due: $           P.O. Number:  

Cancellation Policy:  Cancellation requests must be submitted by email to Linda Strauss, lstrauss@isba-ind.org  by 4:30 p.m., September 15th 2010.  Cancellations will be confirmed by a return reply.  After that date, no refund of registration fees is granted; however, substitutions and name changes may be made.   The corporation is responsible for payment of all persons registered.

* Presidents’ Breakfast - only one board member per school corporation may attend.  This session is not available to guests/administrators.