2006 FALL LEADERSHIP CONFERENCE REGISTRATION FORM

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Team Work Makes the Dream Work
2014 Iowa Region Spring Conf.
Carrollton Center
1370 Hwy 71 North, Carroll, Iowa 51401
Thursday & Friday, February 27 & 28, 2014
ALUMNI REGISTRATION
Alumnus Name:____________
______
___ _ Shirt Size
Sm – XL included - add $2/2XL, $3/3XL, etc
When did you join the Iowa Alumni Association? _____________________________
Phone/Cell Number: __________________
_
E-mail:________________________
Alumnus’ Chapter Name & College Attended: ___________________________________
Will you be able to help at the conference? When? _________________________________
Important Note:
Return all Alumni Leadership
Conference Registrations by
February 12, 2014
via mail, email or fax to:
Julie Gore, President
Iowa Region Alumni Association
27249 Highway 71
Carroll, IA 51401
FAX: 712-792-8500 Attn: Val
E-Mail: gore_julie@hotmail.com
Julie’s Phone: 712-210-3518
Please make checks payable to:
Iowa Region Alumni Association
Reminder – to be able to attend the Conference at
the Alumni registration fee of $20, you must have
made contact with an Alumni Board member and
have your dues paid in full.
Registrations are final.
Once you have
registered for the 2014 Spring Leadership
Conference, the Iowa Region and the Iowa Alumni
Association are responsible for ordering materials,
food, and shirts. Please understand that neither the
Iowa Region, nor the Iowa Region Alumni
Association, can refund last minute deletions for
alumnus registrations.
REGISTRATION PAYMENT
The Alumni Registration fee is $20 (plus extra cost for larger t-shirt) for the entire
Conference, which includes a t-shirt & all meals. There will be no discounts for
alumni attending only part of the conference.
_____
My personal check written to “Iowa Region Alumni Association” is enclosed
_____
I will pay the registration fee at the Leadership Conference (See Executive Board
Member at the Marketplace table).
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Regional Conference Location: Carrollton Inn
Website: www.carrolltoninn.com/
Hotel information:
Carrollton Inn
1730 U.S. Hwy 71 N. (Lincoln St)
Carroll, IA 51401
800-798-3535
www.carrolltoninn.com
50 rooms reserved at Carrollton Inn for PTK group at $60.00 plus tax per night
Days Inn Carroll
1127 U.S. 30 (Lincoln Hwy)
Carroll, IA 51401
712-792-9404
www.daysinn.com
Super 8 Carroll
U.S. Hwy 71 N. (Across from Carrollton Inn)
Carroll, IA 51401
712-192-4753
www.super8carroll.com
Make your hotel reservations NOW!!!
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