2020 MnIAAA Activities Director Conference & Member Registration
BEST WESTERN KELLY INN
100 Fourth Avenue South
St. Cloud, Minnesota, 56301

Conference is March 24th thru March 26th, 2020
Banquet is March 25th, 2020 starting at 6pm
Will you be attending the 2020 Annual Conference Banquet?
NIAAA Member # (if known, if not enter UNKNOWN) *
Your answer
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
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/
DD
/
YYYY
School E-Mail *
Your answer
Region *
Administrative Region
Yrs of Service *
Your answer
School Name *
Your answer
School Address *
Your answer
School City *
Your answer
School State *
Required
School Zip Code *
Your answer
Gender *
Size (1/4" Zip 50th Anniversary Pullover. Please note the deadline to order is February 25th.) *
Payment Method *
All conference attendees will receive a MnIAAA/NIAAA membership, your MnIAAA Conference will cost $350 if payment is by check. If you choose the credit card option, minimal card fees are added to your cost. If paying by check, please send check payable to: MnIAAA c/o Mike Beck, 780 Acorn Circle, Monticello, MN 55362. If you would like an invoice or a receipt, e-mail Mike Beck at beckmb@live.com. Check the box below and finish your registration
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