CONFERENCE ALERT: REVISED REGISTRATION FORM

ADVANCED REGISTRATION DEADLINE EXTENDED

TO MONDAY, AUGUST 18, 2008

A New NAMME: Building Momentum ~ Raising Awareness

September 17– 21, 2008 * Doubletree Crystal City * Arlington, VA

To pre-register this form must be completed and POST MARKED BY AUGUST 18th, 2008.

(Forms postmarked after the deadline will be considered late and assessed higher fees.)

INFORMATION
First Name: / Last Name:
Business Title:
Address:
Email: / Business Fax:
Business Phone (primary): / Pre-Conference Legislative Day (will attend) __ Yes __ No
CONFERENCE FEE
NAMME Members Advanced Registration Fee · postmarked 8/18/2008 / $415.00
NAMME Members Late Registration Fee · postmarked after 8/18/2008 / $465.00
NAMME Members On-Site Registration Fee / $515.00
Non-member Fees · advanced, late, & on-site / $565.00
Membership Dues: Regular $130 Student (nonvoting) $40
STUDENT RECRUITMENT FAIR FEE – SATURDAY, SEPTEMBER 20, 2008
Recruitment Table Fee with Conference Registration / $200.00
Recruitment Table Fee without Conference Registration / $500.00
* Fees for the College Recruitment Fair include: one 6x 8 table; two chairs and; one half page ad (5 1/2x 8 1/2) See instructions below under “Additional Fees”. Requests for a recruitment table after the deadline are not guaranteed an advertisement in the Program Booklet. Ads must be received by AUGUST 8, 2008.
ADDITIONAL FEES
· Full Page - Inside Front, Inside Back or Outside Back Cover Full-page Ads (8 1/2 x 11) / $300.00
· Full-page Ads (8 1/2 x 11) / $200.00
· Exhibitor Fee (Requires Vendor Registration Form) 9/18, 9/19 and 9/20 $per day / $500.00
· Donation (tax deductible) / $
· Awards Luncheon (included in conference registration, fee covers additional tickets) / $50.00
TOTAL FUNDS SUBMITTED $
***NOTE – Recruitment tables are limited to the FIRST 50 REGISTRANTS and are not confirmed until you receive notification and a table assignment. If you do not receive confirmation at least one week after the deadline, please contact Dr. Dorothy Dobbins. (see contact information below) The Program Booklet will be distributed to NAMME members and attending students.
Proceeds benefit the NAMME National Scholarship Fund. NAMME can not adjust the size of your ad.
Email a high quality 5 1/2x 8 1/2, black & white copy of your ad by August 18, 2008 to:
Ms. Princess Currence, Career Programs Manager, University of Michigan Diversity & Career Development Office,
2919C Taubman Medical Library; 1135 Catherine St. - Ann Arbor, MI 48109
EMAIL: Phone: 754-936-1473 FAX: 754-615-4828
Cancellation Policy: A $75 Processing fee will be applied to all written requests for refunds up to 8/17/08
· 50% of registration fee will be assessed for written cancellation notices received before 9/1/07
· No refunds will be given for requests received after 9/1/08
Refunds will be processed after the conference concludes

Forward all correspondence and appropriate forms to:

Dr. Dorothy C. Dobbins; East Tennessee State University; Office of Cultural Affairs Division of Health Sciences – Box 70599 Johnson City, TN 37614-0734

Phone: 423-439-5905 Fax: 423-439-5910 Email: