Registration Form

Member

Name: _______________________________________________ Number: _________

Municipality or Company: _______________________________________________________

Address: _____________________________________________________________________

_____________________________________________________________________

Phone: __________________________________ Fax: _______________________________

E-Mail (please write clearly): ____________________________________________________

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Cost: _____ $150.00 Seminar Fee, includes two continental breakfasts, Thursday lunch and dinner, an ACT 54 class, and two other educational classes.

_____ 2011 Annual Membership dues must be paid to attend this seminar. Please check here if you have submitted your dues. A membership application can be found on the MAHO web site

Total: $________ (Make check payable to MAHO.)

· Registration Deadline: May 2nd, 2011

· Send Registration to: Howard Asch

City of East Lansing

Code Enforcement & Neighborhood Conservation

410 Abbot Road

East Lansing, MI 48823

· Or Fax to: Howard Asch @ 517-319-6926

· To help make our job easier, payment is expected prior to attending the conference. Handwritten receipts are available at the door. MAHO does not send out invoices.

Questions: About Program…………Eric Jordan 1-616-456-4535

ÿ Check if you wish to have a vegetarian meal.

Due to the need to let the conference center know in advance of our meal and room count all registrations must be received by May 2nd 2011. If you wish to come up Wednesday night, the room rate is $99.00 plus tax for two double beds. If necessary, fax your registration to Howard Asch with a note that the check is to follow in the mail or will be brought the day of the seminar. Late registrations may be subject to no lunch accommodations.