2012 MAACCE Membership
Application and/or Conference
Registration Form
Name: ____
Organization: ____
Address: ____
City: State: ZIP: ____
Phone: E-mail: ____
MAACCE Membership (The membership year begins with the annual __ New __ Renewal
conference and continues through the day before the next year’s Annual Conference) Cost: $35.00
Please indicate Interest Groups and Committee(s):
___ Basic Skills/Literacy / [BL] / ___ Family Literacy / [FL] / ___ Correctional Education / [CE]___ Administration / [AD] / ___ ESL/ESOL / [L] / ___ Adult Secondary Education / [AE]
___ Public Policy / [PP] / ___ Workforce / [M] / ___ Communication/Technology / [CT]
MAACCE Annual Conference, May 10-11, 2012
Crowne Plaza Hotel, Timonium, Maryland
Conference Registration Rates (check one): Current Member* Nonmember
Early Registration (postmarked by 3/23/12) $ 115 o $ 175 o
Regular Registration (postmarked by 4/13/12) $ 135 o $ 195 o
Late/On-Site Registration (postmarked after 4/13/12
or day of conference) $ 155 o $ 215 o
One Day Registration: ¨ May 10th or ¨ May 11th $ 80 o $ 120 o
One Day Late/On-Site Registration: ¨ May 10th or ¨ May 11th $ 110 o $ 150 o
(postmarked after 4/13/12 or day of conference)
Special Needs: Meal Preference: o Reg ¨ Veg o Kosher
Conference registration fees include all sessions, continental breakfast and lunch for day(s) registered.
Note: Registrations received after the 4/13/11 deadline may not be guaranteed a meal at the conference.
Special MAACCE room rate of $102 is available through April 9, 2012; contact Crowne Plaza Timonium at (410) 252-7373.
Payment
Conference registration: $
Membership Dues: $
Total enclosed: $
o Check o Money Order o Agency check # ______
o Membership/Conference Fee paid separately
Write checks to “MAACCE” (Federal tax ID 52-1355700)
Mail registration and payment to:
MAACCE Conference Registration, c/o Laurie Askins, MAACCE Membership Coordinator,
P.O. Box 709, Leonardtown, MD 20650
*Conference Registration will be held until Membership payment has been received.