NAME CLEAN DATE
CITY STATE ZIP
AREA CODE PHONE NUMBER E MAIL ADDRESS ®
Be a part of…I have willingness to be of service as a:
Workshop Chair (*6 mos.) Workshop Speaker (*3 yrs.)
Registration: Price # Total_ Main Speaker (*5 yrs.) Hugger
Before 3/31: $25.00 ___ $_____ Serenity Giver (*6 mos.) Marathon Meeting Chair
After 4/1: $30.00 ___ $_____ Other/wherever needed (*1 yr.)
*Clean time requirement
Brunch $15.00 ___ $_____ To be considered as a main speaker, send tapes/CDs by
Banquet $25.00 ___ $_____ March 17, 2012 to:
Newcomer Donation $_____ MRCNA Program Committee
TOTAL: $_____ P.O. Box 169
Travers City, MI 49685
Send your registration to: Do you have an additional need?
MRCNA Tickets & Registration Visual Mobility Hearing
P.O. Box 169 Other ________________________________
Traverse City, MI 49685
Make checks or money orders payable to MRSCNA.
Please, DO NOT send cash through the mail.
Shanty Creek Resort
5780 Shanty Creek, Bellaire, MI 49615
Many people ask this question. Hotel Guest Rooms $109.00 plus taxes
Your registrations fee pays for the convention Sawtooth Guest Rooms $99.00 plus taxes
If you have mobility issues it is recommended you stay
cost: meeting & workshop space, speaker travel
in the hotel.
cost, convention flyer’s, DJs, entertainment,
registration packet, decorations, and most HOTEL RESERVATIONS:
importantly indigent packages. The committee To get the MRCNA discounted rate, hotel rooms MUST be
would like to thank you. booked using the hotel registration form. Please visit
www.michigan-na.org/mrcna for detailed information.
Convention Contact Information
Chair Dave T (231)632-3635
Programming Sally B (231)675-0601
Tickets & Registration Barb P (616)475-5741
Entertainment & Fundraising Kitty M (231)282-1825
Merchandise*** Michelle E (231)735-3371
*** Contact to sell alternative merchandise on Sunday, 7/8/2012
Find us on the web at www.michigan-na.org/mrcna