2020 Retired MnIAAA Athletic Administrators Registration
$50 Lifetime Membership
$ 5 Annual Membership
$50 Conference Registration
$30 NIAAA Annual Membership

BEST WESTERN KELLY INN
100 Fourth Avenue South
St. Cloud, Minnesota, 56301

Conference is March 24th - 26th, 2020
Banquet is March 25, 2020 starting at 6pm
NIAAA Member # (if known, if not enter UNKNOWN, or enter Lifetime) *
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First Name *
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Last Name *
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Gender *
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Date of Birth *
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E-Mail *
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Former School Name *
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Home Address *
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City *
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State *
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Zip Code *
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Size (1/4" Zip 50th Anniversary Pullover. Please note the deadline to order is February 25th.)
Payment Method *
If by mail, send a check ($50 for Lifetime, $5 for Annual, $50 for Conference Registration, $30 NIAAA) to the MnIAAA c/o Mike Beck, 780 Acorn Circle, Monticello, MN 55362. If you would like an invoice or a receipt, please e-mail Mike Beck at beckmb@live.com. Credit card fees are added to your online payment.
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