2019 NAAE Region IV Conference Registration
June 25-27, 2019
Weber's Inn, Ann Arbor, MI

Checks should be made payable to MAAE and sent to the following address:
MAAE Treasurer: Kevin Nugent
11090 Five Mile Rd.
Lowell, MI 49331

Name *
Please indicate your first and last name
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School/Chapter Name *
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School/Chapter Address *
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School/Chapter CITY *
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School/Chapter STATE *
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School/Chapter Zip Code *
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School Phone Number *
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Cell Phone *
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Email Address *
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Registration *
Choose One: (A $25 fee will added to the cost of your registration if registering after June 1st)
Please list any special accommodations you may need:
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