State Meeting Registration November 3

State Meeting Registration Form
Fall 2010

Registration fee is $25 for members and $35 for non-members.

This page may be printed and filled out to register.

Make checks payable to the MSMA.

Send registration form and check to:

Patty Hale

MSMA Treasurer

Name:

Address 1:

Address 2:

City:

State/Zip:

Phone:

Email:

Member:

______________________________________

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