2021 Mid-Management Conference

First Name

Last Name

Email Address

Designation / Suffix:
(select all that apply)

MCM

CCM

CCE

PGA

Other

Other:

Club:

Position at Club:

First Time Attendee:

Yes

Member

Yes

Conference Registration: Monday, June 7 & Tuesday, June 8, 2021

Includes breakfast, lunch, breaks, and education on both days as well as the networking event at Charlotte City Club on the evening of June 7.

Member/Non-Member (x$195 each)

Please provide the name(s), position(s) and email address(es) of the additional attendees signed up within this registration.

Names/Positions/Email Addresses:

Folds of Honor Donation (Optional)

Total Enclosed

Payment Options

Cash

Check

Credit Card

If paying by check, please make payable and remit to:
Carolinas Chapter CMAA :: 8595 Pelham Road, Suite 400, #318 :: Greenville, SC 29615�

� Cancellation Policy �

A full refund will be available up to 5:00pm Thursday, June 3, 2021.

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