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Non-Exhibitor Conference Form
Date:
 March 31, 2010-April 2, 2010
Agenda
Where:
 Roswell Convention and Civic Center, Roswell, NM
912 N. Main, Roswell, NM 88201
Registration Fee:
 $350.00 per individual due by March 15, 2010
  Membership form
  A $25.00 fee will be charged for conference cancellations prior to
March 15, 2010, no refunds after that date.

Credit card payments are not accepted
Please see payment information at the bottom of this form.

Some meals will be provided.
Instructions: Complete the following and click the Submit button at the bottom of this form.
* Required completion of field.
 
Company Name *
Address *
City, State, Zip Code *
Phone *
Fax *
Person Submitting This Form *
Email *
Amount of Payment Due *
Additional Attendee
Additional Attendee
Today's Date *
 
Mail payment to NMASFAA Treasurer:
 Phyllis Henrie, HenrieP@sanjuancollege.edu
Assistant Director of Financial Aid
San Juan College
4601 College Blvd.
Farmington, NM 87402
Phone:
 505-566-3323
Fax:
 505-566-3568
 

(NMASFAA Federal ID: 85-0425715)

Purchase orders do not constitute payment.

All transportation, hotel, and incidental expenses are the responsibility of each participant. Lunch will be provided.
 
PRINT THIS FORM BEFORE YOU PRESS THE SUBMIT BUTTON AS CONFIRMATION
 
 
 
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