This is not an online registration.
Please print and send to the address at bottom.
Maine IDA Registration Form

Well of Course I Can Write - Somebody Taught Me How!
October 24, 2008

with Bruce Saddler, Ph.D.

IDA Member Early Registration                                                      $95
Non-member Early Registration and Member Regular Reg.          $105
Non-member Regular Registration                                                $115
Full-time Student   (proof from registrar dated after Sept. 20th)    $50

Early Registration must be post marked by October 1, 2008. Regular Registrations must be
postmarked by October 10, 2008.

Name __________________________________
                                  
Position/Title_____________________________

Address ________________________________

E-mail (required for registration confirmation)___________________

Home Phone    ________________

Work Phone     ________________

______Check here if you need CEUs.  

______Check here if you need IMSLEC CEUs.

Team Info: Send four or more from one school and another person can attend FREE.
Registrations must sent together and must include your school name.

Terms: Registrations accepted on a full-payment, first-serve basis and must be paid for by
check or money order made out to the Maine IDA.

Scholarships: Four full-time student scholarships are available. Contact Lynda Clapp at
lclapp@maine.rr.com.

No Shows: If you are unable to attend email lclapp@maine.rr.com for a refund (less a $25
processing fee) or send someone in your place, with your registration confirmation and
written authorization from you.

Program Cancellation: Maine IDA reserves the right to cancel any programs because of low
registration or other events beyond its control.

Directions: Get off Rt. 95 at Exit 75 (old Exit 12), Auburn. Proceed to light, take left at light,
take second left onto Beech Hill Rd. Proceed straight about 1 1/2 miles (go past Par 4 Drive
and Fairway Drive) to 527 Beech Hill Rd., which is on the right.

Print and mail this form with full payment to:

Wilda Koman
157 W Woods Lane
Swanville, ME 04915