Online Registration

Western Region Mid-Managers Conference
El Dorado Hotel, Santa Fe, New Mexico
July 13-15, 2005

Early Bird Registration Deadline: June 12, 2005

Participant Information

(Dr. Mr. Mrs. Ms. Other)
First name
Last name
Title
Nametag Name
Organization/University
Address
City
State
Zip code
Email
Phone
This is my first time attending the Mid-Managers Conference

Registration Information

Participant registration

Includes:
Wednesday welcome reception;
Thursday lunch;
Friday lunch

(On or before June 12th : $189)
After June 12th : $250

Special needs

If you have a disability or have dietary restrictions, please let us know in the space provided below.
We wish to accommodate your needs and ensure that your stay is enjoyable.

Choose Method of Payment

	Purchase Order PO Number: A link to your invoice will be included in your confirmation email.
	Check Make check payable to New Mexico State University. Mail to: Albina Armijo, NMSU CAHE-CES, P.O. Box 30003, MSC 3AE, Las Cruces, NM 88003.
	Credit Card (We will accept Visa, MasterCard and Discover) If paying by credit card, you will be contacted by phone for your credit card information. For more information, email alarmijo@nmsu.edu.
Other Payment Type:

Cancellations

Notice of cancellation must be received in writing by Thursday, June 30, 2005 to receive a refund, minus a $30.00 processing fee. No refunds are possible after this date. A charge of $30.00 will be assessed on any check returned for insufficient funds.

We will consider you registered once your form and payment are received. The cancellation policy will apply when our office receives your written request.