MINNESOTA INDIAN EDUCATION ASSOCIATION
25th ANNUAL CONFERENCE
OCTOBER 7-8, 2009
PRE-REGISTRATION FORM-MAIL IN
ORGANIZATION/INSTITUTION:_________________________________________________________
NAME:_______________________________ ADDRESS:_____________________________________
PHONE: OFFICE______________________ HOME__________________________
FAX: ________________________ E-MAIL__________________________________
BUSINESS OFFICE/BILLING CONTACT: ____________________________________________________
PHONE: _____________________________
CHECK #: _______________ PO # _____________ AMOUNT PAID:_____________
All registration forms must include full payment or purchase order and be postmarked by 09/30/09 for pre-registration. For elders there is a meal charge; however no registration fee will be charged.
PLEASE CHECK CATEGORY:
FULL CONFERENCE MEMBERSHIP INCLUDES:
MIEA membership for one year, conference sessions, materials, Wednesday and Thursday luncheons and Thursday evening awards banquet.
___ADULTS: $110 EARLY REGISTRATION FEE* (FULL PAYMENT POSTMARKED BY 09/30/09)
( REGISTRATION AFTER 09/30/09 WILL BE DONE ON SITE ONLY AND WILL NOT INCLUDE MEALS)
___POST-SECONDARY STUDENTS: $60 EARLY REGISTRATION FEE* (Full payment/PO postmarked by 09/30/09)
( REGISTRATION AFTER 09/30/09 WILL BE DONE ON SITE ONLY AND WILL NOT INCLUDE MEALS)
___HIGH SCHOOL STUDENTS: $55 EARLY REGISTRATION FEE* (Full payment/PO postmarked by 09/30/09)
( REGISTRATION AFTER 09/30/09 WILL BE DONE ON SITE ONLY AND WILL NOT INCLUDE MEALS)
___ELDERS: $55 MEALS, ONLY* (No conference registration fee charged)
DAILY FEE INCLUDES: $60 DAILY FEE** (Adults or Students) MIEA membership for one year, conference sessions, materials and lunch for the day chosen, but does not include the awards banquet.
Mail to: Steven Briggs, 1501 Highway 71, International Falls, MN 56649
