MASC 2009 Conference
Registration Form
Instructions: Please print this page and complete it fully. Send the form with payment to be received by September 25, 2009 to the address at the bottom. Please allow 3-5 business days for   delivery.
Full Name:__________________________________________________
Address:____________________________________________________
City:_________________ State:__________ Zip Code:_______________
Phone:__________________ Email:_______________________________
Are you a MASC member? _________    
If not, you may want to join MASC and register simultaneously.
The following rates apply:                                                                    
Student Membership (for non-professionally employed students): $10 US Annually
Regular Membership (educators and those professionally employed): $20 US Annually            
Patron Membership (any member who wishes to contribute extra each year): $30 US Annually

If Student; indicate school/college/university:____________________________________
If Regular; indicate organization/institution/company: _______________________________

Please include school contact information if different from previous contact information:
Address: ____________________________________________________
Phone: ____________________________  Email: __________________
______At event admission for Student, Regular & Patron members: $25.00 US
______At event admission for Non-MASC Member: $50.00 US 
______ Early Student admission: $10.00 US
______ Early Regular & Patron admission: $20.00 US
______ Early Non-MASC Member admission: $40.00 US
______ Buffet Dinner (Friday Evening) MASC Members or Non-MASC Members: $19.00 US (per             person)
*** Please remember to add both your membership fee and registration fee when making your payment.***
This year’s convention is being held at the University Center on the grounds of Macomb Community College’s Center Campus, check www.themasc.org for directions.
The Macomb University Center may be reached at 586-263-6018.
**Make checks payable to: MASC c/o Ray Quiel. One registration form per person please. Allow 3-5 business days for mail delivery. If you require overnight accommodations, please contact the hotel directly. Group discounts are available through September 18th. The Hotel is the Hyatt Place and can be reached at (586) 803-0102. Mail this completed form with payment to: MASC c/o Ray Quiel; 127 Quirk; Eastern Michigan University; Ypsilanti, Michigan, 48197**