2019 MOMATYC Spring Conference Registration
First Name *
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Last Name *
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E-mail Address *
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School or Company Affiliation *
Do you plan to attend the Thursday evening reception? *
Do you plan to attend the Thursday evening reception?
Do you plan to attend the Friday Conference? *
Do you plan to attend the Saturday Conference? *
Do you have any dietary restrictions you would like us to consider? If so, please mark "other" and specify what accomodations you would like us to consider. *
Do you understand that to pay for the conference you can either mail a check or use Pay Pal (see www.momatyc.org)? Please note that the registration fee goes up after March 14, 2019 and that the registration fee includes your annual membership dues. TO QUALIFY FOR THE EARLY REGISTRATION RATE, YOU MUST PAY ON OR BEFORE MARCH 14. *
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Do you have a Facebook account, and if so, have you found the MOMATYC facebook page and "liked" it? *
Please acknowledge that you have read the Registration Cancellation Policy: A refund of 100% of your registration fee will be given upon receipt of a written request postmarked by March 14, 2019. A 50% refund less a $10 service fee will be given if your written request is postmarked on or after March 14, 2019 and before April 1, 2019 . No refunds will be given for requests sent on or after April 1, 2019. No refund will be given for membership dues. *
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