conference reg. form 2011#2

22th Annual Winter Conference February 2, 3 and 4, 2011 Shanty Creek Resort Bellaire, Michigan 49615 (800)-678-4111 or Fax: (231)-533-7004 REGISTRATION FORM NAME: Address Work Phone( )City ,State Zip EARLY REGISTRATION DEADLINE: JANUARY 21, 2011... More

22th Annual Winter Conference February 2, 3 and 4, 2011 Shanty Creek Resort Bellaire, Michigan 49615 (800)-678-4111 or Fax: (231)-533-7004 REGISTRATION FORM NAME: Address Work Phone( )City ,State Zip EARLY REGISTRATION DEADLINE: JANUARY 21, 2011 *REGISTRATION FEE: $200. 00 (FEE MUST ACCOMPANY REGISTRATION) LATE REGISTRATION FEE AFTER JANUARY 21, 2009: $250. 00 Make check payable to: Michigan Construction Teachers Association – (MCTA) Send this form and check to: Frank Tilmann 13902 Jet Drive Big Rapids, MI 49307 (231)-250-3528 Contact Hotel Directly for room Reservations (See Shanty Creek Reservation Page) Meal Options: Member Guest Thursday – Breakfast Buffet Thursday Lunch Buffet Thursday Dinner Prime Rib Salmon Vegetarian (pasta) Friday – Breakfast Buffet Additional meal packages for spouse or quests are $75. 00 *Non-Refundable Registration Fee Additional shirts are $40. 00 Shirt Size S M L XL 2XL 3XL 4XL Less