National State Teachers of the Year Annual Conference
"Lighting the Way"
Northport, Maine
Pre-Conference July 6-8, 2009
Conference July 9-11, 2009
CONFERENCE REGISTRATION FORM
Name______________________________________________
First Time Attendee?_______
Home Address:_______________________________________ City:____________________
State:___________ Zip Code:______________
Preferred Email:_________________________ Fax:_____________
School/Institution:_______________________________________
School Address:______________________________________ City:_____________
State:____________ Zip Code:_____________
Work Phone:__________________
Home Phone:_______________ Cell:____________
Other family/friends who will attend with you:
Before February 15, 2009:
$75 per NSTOY member x______= $_______
$50 per other adult x______= $_______
$25 per child x______= $_______
Feb. 16-Apr. 15, 2009:
$100 per NSTOY member x______= $_______
$75 per other adult x ______= $_______
$50 per child x ______= $_______
Apr. 16-June 30, 2009:
$125 per NSTOY member x______= $_______
$100 per other adult x______= $_______
$75 per child x______= $_______
Total Registration Enclosed: $________Registrations will be finalized upon receipt of payment. Please make checks payable to MTOY. Mail registration and payment to Sherri Gould, 47 Ireland Avenue, Corinna, ME 04928.
Questions? Call 207-433-0303.
