Registration Form

2012 CAACE Conference
March 28 - PreConference
March 29 & 30
Mystic Marriott
Groton, CT

CLICK HERE To register for the 2012 CAACE Conference and pay by credit card.

Please register before February 29th

Contact Information:

Program/Agency

First Name *

Last Name *

Address

Apt. #/floor

City

State		Zip

Phone *

Fax

CAACE members please check one:
	Pre Conference fee $89 (includes dinner)
	2-day registration fee $220 (includes lunch)
	Thursday only $140 (includes lunch)
	Friday only $140 (includes lunch)
	Lunch only Thurs. $30
	Lunch only Fri. $30

Non-members please check one:
	Pre Conference fee $100 (includes dinner)
	2-day registration fee $275 (includes lunch)
	Thursday Only $165 (includes lunch)
	Friday Only $165 (includes lunch)
	Lunch Only Thurs. $40
	Lunch Only Fri. $40

Special CEU Facilitator Rate (for those working at the Conference tracking CEUs):
	2-day registration fee $110 (includes lunch)
	Thursday Only $70 (includes lunch)
	Friday Only $70 (includes lunch)

Amount:	Check Number:	Purchase Order Number:

Full payment is required for all registrations. No cancellations will be accepted after March 8th. You may send a substitute if a registered person is not able to attend.

Please e-mail or call Ellen Thompson at caace@comcast.net or 203-691-5016 if you have any questions, need a special meal, or wish to request special accommodations.

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Registration Form

2012 CAACE ConferenceMarch 28 - PreConferenceMarch 29 & 30Mystic MarriottGroton, CT

CLICK HERE To register for the 2012 CAACE Conference and pay by credit card.

CLICK HERE To register for the 2012 CAACE Conference and pay by credit card.

2012 CAACE Conference
March 28 - PreConference
March 29 & 30
Mystic Marriott
Groton, CT