December 7-8, 2007    Holiday Inn Select Executive Center, Columbia, MO

You must fill out one form per person.

Name:   

Home Phone: (5555555555)   Fax Number:    Daytime Phone:

Mailing Address:

City:     State:     Zip:

School:

E:mail:

The registration fee is $85 and includes your 2008 MTCCCA dues.

Payment Options:

Make check payable to: Custom Meeting Planners, Inc.

Purchase Order [Must mail or fax {(573)445-1831} a copy of your purchase order to complete registration.]

    Please provide the following information if you are paying by purchase order:

       Accounting Office Contact Name:                    

        Fax Number to Send Invoice:    

Credit Card (Call (573)445-2965) to pay by phone)

Please send checks or a copy of your Purchase Order to:

Custom Meeting Planners
PO BOX 30785
Columbia, MO 65205

If you have a disability that requires special materials or services, contact Jamie Schieber at (573) 445-2965 by November 14, 2007.