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2009 CONFERENCE REGISTRATION FORM

Conference Information | Hotel Accommodations | Registration Info | Agenda | Registration Form

Using Technology to Prepare for Your Career
February 19-20, 2009

Please complete the following registration form and click the send button. To complete your registration, you must submit your payment to the Adult Learning Conference. You may bring your check with you to registration.

Firstname        Last Name	Phone
Title	Institution
Address
City State Zip
Email	Fax #

Professional, Faculty or Administrator Fees		Student Fees
	$90 Full Conference Fee		$75 Full Conference Fee
	$60 Thursday Only Fee		$50 Thursday Only Fee
	$50 Friday Only Fee		$35 Friday Only Fee
			* Request Fee Waiver

* Special Fee Waiver: We have a limited amount of funds to pay the student registration fee for students enrolled in any Tennessee Community College. These funds are available on a first come first served basis. To apply, simply submit the registration form and check the box for Community College Student Fee Waiver instead of sending in the student conference fee.

Please enclose a check made payable to the Adult Learning Conference. You may duplicate this form for others as needed.

Return this form with payment by February 6, 2009 to:

Adult Learning Conference
Middle Tennessee State University
1301 E Main Street
P.0. Box 646
Murfreesboro, TN 37132

If your check will be delayed at all, please fax form to 615-898-5211 or submit online and bring check to the conference.

HOTEL DEADLINE: January 19, 2009. See Hotel Accommodations for more information.

Questions? Call 615-898-5989 or e-mail owls@mtsu.edu.

Conference Information | Hotel Accommodations | Registration Info | Agenda | Registration Form