IMLA Annual Conference
IMLA Conference 2010 Information Page
Individual Or Non Member Registration Form "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
COPY and PRINT THE FORM BELOW AND SEND BY FAX or EMAIL or MAIL TO: Registration Form Bev Bradford IMLA Treasurer P.O. Box 190869 Boise, ID 83719 Email: bev.bradford@gmail.com or FAX 1-866-729-4861 Be sure that all information is correct so that Registration Name Tags will be correct. .................................................................................................................................. REGISTRANT INFORMATION
LAST NAME: ___ FIRST NAME: _ __ SCHOOL/ORGANIZATION: _ SCHOOL ADDRESS: _____ CITY: ZIP: __ PHONE NUMBER: GROUP REGISTRATION: For Member Only (Deadline -February 2nd) Use Group Registration Form
TOTAL AMOUNT DUE
TOTAL DUE (See Registration Fees Below): _________________
NUMBER OF ATTENDEES:__________________
REGISTRATION PAYMENT
Check (Payable to IMLA)
Official Purchase Order Enclosed # Note: Registration includes buffet breakfasts on Friday and Saturday, and lunch on Friday.
MEMBER
NON-MEMBER
Early Bird for Members Only Must be Received by February 2, 2009
$ 130
Does Not Apply
General Registration Received by February 25, 2009
$ 150
$ 180
General Registration Received after February 25th , and on Site
$ 185
$ 200
Students attending a University with IMLA membership - Must Register through University
$60
Please indicate below if you prefer a vegetarian lunch on Friday. I prefer a vegetarian lunch on Friday. Click here to download form in PDF format. Individual Registration Form