Serving Copiah, Hinds, Madison, Rankin, Simpson, Warren, and Yazoo Counties...
Fill out our ONLINE REGISTRATION FORM...

First Name/Last Name/MI:
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Badge Name:
Title:
Organization:
Street (or) Box Address:
City/State/Zip: / /
Phone #:
E-Mail:
Please Check Appropriate Fee Option(s):
Registration (Before 4/9/10) $260
Late Registration (After 4/9/10 $310)
*Spouse Registration ($75)
*Registered Spouses Name:
Continuing Education Units will be offered as Social Work Units.

Please check the box to sign-up for SWU's.
MML will offer Continuing Education Credit to municipal officials.

Please check the the box if you plan to participate.
A Newly Elected Official Orientation will be offered.

Please check the the box if you are a newly elected official.
The MAPDD/Valley Golf Tournament, held on April 20, 2010, is a special event offered to all conference registrants compliments of Valley. You must register before April 9, 2010. Please check the box below to sign-up.

Golf Tournament - Tuesday, April 20 (Average Score: )

The Biloxi Schooner Sightseeing Cruise is sponsored by Venture Technologies for all conference registrants. It will depart on April 20 from the Museum Schooner Pier Complex on Hwy. 90 at Oak Street. You must register by April 9, 2010. Please check the box with your preferred departure time.

12:00 noon 2:00 p.m. 4:00 p.m.

For printout, print before submitting registration.

Full Conference Registration Fee includes registration and admission to all Conference Activities. Conference Dress will be casual.


Revised: March, 2010
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