***Please print-out this form. Fill it out and Fax it to NMSBA at (505) 983-2450.****
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New Mexico School Boards Association
Board Institute
February 12-13, 2010
at the Hilton Hotel, Santa Fe, NM
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BILLING ADDRESS:
School District: ________________________________________________________________________
Address: _____________________________________________________________________________
City: ________________________________________________Zip: ____________________________
Submitted By: _________________________________________________________________________
Title: ________________________________________________ Phone: _________________________
Date: __________________________________
*There will be a three-hour madatory training session provided by the PED on Friday afternoon for newly elected/appointed School Board Members.
ATTENDEES NAMES:
1) Name: ________________________________________ Title: ____________________________________________
2) Name: ________________________________________ Title: ____________________________________________
3) Name: ________________________________________ Title: ____________________________________________
4) Name: ________________________________________ Title: ____________________________________________
5) Name: ________________________________________ Title: ____________________________________________
6) Name: ________________________________________ Title: ____________________________________________
Included in the registration: Continental breakfasts on Friday & Saturday.
Association Members: $135 per person. $155 per person after January 29, 2010. A purchase order is considered payment.
Purchase Order # ___________________________________ (Attach a copy of the P.O.)
Non-Members: $400 per person. Payment must be made in advance.
CANCELLATION & REFUNDS POLICY:
100% refund if registration is cancelled in WRITING by January 22, 2010.
50% refund if registration is cancelled in WRITING by January 29, 2010.
NO SHOWS WILL BE BILLED IF NOT CANCELLED BY DATES SHOWN ABOVE.
Substitutions will be allowed until January 31st with no charge. From Feb 1st until Feb 7th a $25 charge will apply. After February 7th, no substitutions.
HOTEL RATES at the Hilton Hotel are $109 Single/Double, plus tax. Please make your own room reservations by calling 1-800-336-3676 or 505-988-2811. To ensure these rates, please make room reservations as soon as possible and identify yourself as being with NMSBA. Reservation are not guaranteed in this hotel. Purchase order number is required at time of reservation. Rooms are reserved on a first come-first reserved basis.
Fax registration for the conference to NMSBA at (505) 983-2450.
Updated 12/14/09