MACAA 2005 Retreat Registration (Online Payment)

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MACAA 2005 Retreat "Creating Successful Fundraising Events

Name:

Email address (will not be published):

Comments:

Your Agency:

(required)

Complete mailing Address

Name ( required )

Address ( required )

Address 2

City, State, Zip ( required )
U.S. Mailing Address (required)

Phone Number

U.S. Phone number (required)

Email Address

Email address (you@yourdomain.com)

Notes/Comments

Please include additional names for registration, if any.

MACAA Member Registration Fees:
MEM1 - Monday - Tuesday ( $115.00 )

MEM2 - Monday Only ( $70.00 )

MEM3 - Tuesday Only ( $50.00 )

(required)

Non-member Registration Fees
NOMEM1 - Non-member Monday - Tuesday ( $135.00 )

NOMEM2 - Non-member Monday only ( $80.00 )

NOMEM3 - Non-member Tuesday only ( $60.00 )

(required)

Number of days attending
Monday - Tuesday
Monday Only
Tuesday Only
Select one option from the list (required)

Applying for scholarship
First-time attendee
Multiple staff
Other special needs
Check the option from the list that are approprieate

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MACAA 2005 Retreat "Creating Successful Fundraising Events