Registrant Profile

Name

Position Title

Institution

Campus

Mailing Address

Email Address

Office Phone

Cell Phone

Special Needs

1        If checked here, a member of the planning team will contact you

Registration and Payment

1        Registration for members
            (includes Sat. Dinner, Sunday Breakfast and Lunch)

$150

1        Registration for non-members
            (includes above meals and one year membership)

$175

1        Extra Dinner Ticket for Saturday

$  50

Total Amount Due

1        Payment enclosed by check

1        Payment by credit card

Circle               Visa     Mastercard

            Card Number

Expiration Date:

            Name on card

Registration Deadline – June 1st, 2010

Mail registration and payment  to:

FABCA Conference
Lisa Valentino
Seminole State College at Oviedo
2505 Lockwood Blvd.
Oviedo, FL 32765

Or, fax registration
(credit card payments only) to:

407.971.5105

Registration will not be considered complete until payment has been received and processed.  No refunds are possible after the June 1st deadline date.

Rooms are available at the Longboat Key Club: Beach View Club Suite at $200 plus $15 Resort fee, per suite per night. Please use the RBCA hotel reservations form when making your arragnements to attend the FABCA conference. You will notice that the quoted prices are in effect three days before and after their conference dates. To make your reservations log on to: www.outreach.ohio.edu/rbca/pdfs/reservations08.pdf to complete and return the RBCA Longboat Key Club reservations form.