Page 43 - ESA IC News September
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Registration Form
                                   32  Midwest Area Regional Council Conference
                                      nd
                                               “Motown in Motion in the D”

                                                    October 13-14, 2017

               Name:                                                            State:

               Address:                                           _________________________

               City, State, Zip:

               E-Mail Address:

                                  Current Officer/Offices held (please check all that apply)

               MARC Board __________  State President __________                    1  Timers____
                                                                                     st
               MARCettes ___________  IC Board __________                IC Appointed Board ____
               Foundation Board ______     Headquarters ___________  Guest ___________

               Full Registration for Conference:                  $150.00
               Registration without Friday Leadership:            $123.00
               Saturday Banquet only:                             $  50.00

               Full Registration after September 26               $160.00
                                                        th
               Walk-in Registration: (Check/Money Order Only)                $170.00

               Special Medical Dietary Needs:

               Make Check payable to:   2017 MARC Conference

               Mail to:              Pat Ludwig, Registration Chair
                       22262 Oxford St.
                       Dearborn, MI 48124
                       313-680-4788
                       Happysass@comcast.net


                                                Doubletree by Hilton Hotel
                                      5801 Southfield Expressway, Detroit, MI 48228
                                                        313-336-3340

                                                   Hotel Reservation Link:
               http://doubletree3.hilton.com/en/hotels/michigan/doubletree-by-hilton-hotel-detroit-
                                              dearborn-DTTDBDT/index.html
                                     (Group Code: ESA) held until September 26th
                                           Room Rate: $119 + tax (1-4 people)


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