SUFU / NRE Registration Form
Print this form (2 pages) to fill out and mail.
Registration deadline: September 4, 2007
A registration form must be filled out for all conference attendees and accompanied by a $ 50.00 registration fee. No exceptions!
Mail to:
SUFU/ NRE
PO Box 2007
Augusta, ME 04338
Name: ___________________________________________________________
Address:__________________________________________________________
Town/City:________________________________________________________
State & Zip Code:__________________________________________________
Telephone:________________________________________________________
Please make sure you include a number in case we have questions to help meet your conference needs.
Dietary Needs (circle one): Diabetic Vegetarian Blended
Is there an accessibility accommodation we can offer to make your conference experience more enjoyable?
_________________________________________________________________
_________________________________________________________________
To ensure we have enough room and/or materials needed for each workshop we are asking registrants to please choose the two workshops/topics you would be most interested in attending.
Circle two of the pictures or check two items on the list.
I want to learn more about…
<--- Sexuality and relationships Telling my story --->
<--- Voting Emergency Preparation
--->
<--- ADA in my community
Guardianship --->