Carolinas Chapter CMAA 2018 Summer Education

First Name

Last Name

Email Address

Designation / Suffix:
(select all that apply)

Other:

Club:

Position at Club:

First Time Attendee:

Yes

No

Member

Yes

No

Regular Registration: Day of Disney

Includes breakfast, lunch, breaks and education.

Chapter Member (x$225)

Chapter Members Staff (x$300)

Chapter Sponsors & Partners (x$300)

At-Large Registrants (x$325)

Please provide the name(s) and title(s) of the additional Carolinas Chapter Members and Chapter Members Staff signed up within this registration:

Names and Titles:

Total Enclosed

Payment Options

Cash

Check

Credit Card