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…

Cartoon couple kissing

 

<--- Sexuality and relationships

Telling my story --->

Camera, film, and picture album collection

 

Ballot in voting box

 

<--- Voting

Emergency Preparation

 --->

Home and tree in flood water

 

Man in wheelchair

 

<--- ADA in my community

 

Guardianship ---> Gavel

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