IMLA Annual Conference
Group Registration Form

IMLA Conference 2010 Information Page

"A Journey Through the Middle"

Boise Doubletree-Riverside
2900 Chinden Boulevard, Boise, Idaho, 83714
Tel: 1-208-343-1871   Fax: 1-208-344-1079
March 19-20, 2010
Boise, ID

Be sure that all information is correct so that Registration Name Tags will be correct. Copy and Print Form at Bottom of this Page or download the PDF file and complete.
Group Registration Form


SEND TO:
BY FAX or EMAIL or MAIL

Bev Bradford

IMLA Treasurer
P.O. Box 190869
Boise, ID 83719
Email: bev.bradford@gmail.com
or

FAX 1-866-729-4861

..................................................................................................................................

Group Registration Requirements
Group discount registration will be offered for the state middle level conference in two categories:  Group 1, Group 2, and Group 3, depending on the number of registrations from one building.  The requirements to register as a group registrant are defined below. 

ALL GROUP REGISTRATIONS MUST BE RECEIVED BY FEBRUARY 2, 2010.
REQUIREMENTS FOR GROUP REGISTRATION:

*No refunds will be given for cancelled group registrations but substitutions may be made on site.

*Each individual will be responsible for picking up their own registration material at the conference registration desk.

CATEGORIES:

                     Rate: $ 120 per member

                     Rate: $ 115 per member

                      Rate: $ 110 per member

                      Rate: $ 105 per member

                      Rate: $ 100 per member

All group registrations require that a typed list of all registrants with first and last names be sent in with one check or purchase order
.

Note:
Registration includes buffet breakfasts on Friday and Saturday, and lunch on Friday.

FOR QUESTIONS CONTACT:

Bev Bradford
P.O. Box 190869
Boise, ID 83719
208-484-5498
FAX 1-866-729-4861
Email:  bev.bradford@gmail.com

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IDAHO MIDDLE LEVEL CONFERENCE GROUP REGISTRATION FORM
 
For Member Schools
Group Registrations must be received by February 2, 2010.

ONE FORM PER SCHOOL.  A TYPED LIST OF ALL REGISTRATION NAMES MUST ACCOMPANY THIS FORM.

Principal's Name:              __                                                                                 

School/Organization:                                                                                             

School Address:                                                                                                    

School Telephone #:                                                                                             

PLEASE CHECK WHICH RATE APPLIES TO THIS REGISTRATION:


        Group 1 (5 to 16 members from same building)..........................$ 120/person

        Group 2 (16 to 30 members from same building)........................$ 115/person

        Group 3 (31 to 60 members from same building)........................$ 110/person

        Group 4 (61 to 100 members from same building)......................$ 105/person

         Group 5 (100+ members from same building)...........................$ 100/person

         Students attending a University with IMLA membership ............$ 60/person
         Registration must be done through the University for this reduced price.

TOTAL NUMBER OF REGISTRATIONS BEING MADE PER THE ATTACHED ALPHABETICAL LIST:            
TOTAL AMOUNT DUE

                                 
  x                                               =                                             

     #Registrations                 Amt./person                         Total Amount Due

REGISTRATION PAYMENT


             CHECK PAYABLE TO IMLA

             OFFICIAL PURCHASE ORDER ENCLOSED #                                           


Mail or Fax or Email Registration to:
Bev Bradford
IMLA 
P.O. Box 190869
Boise, ID 83719208-484-5498
FAX 1-866-729-4861
Email:  bev.bradford@gmail.com

 

For Hotel Reservations contact:
Boise Doubletree-Riverside
2900 Chinden Boulevard, 
Boise, Idaho, 83714
Tel: 1-208-343-1871 Fax: 1-208-344-1079