Please fill out the form below to register. The rate is $175 per person.

Students with a valid student ID card are eligible for the $100 student rate if they register prior to September 1. Click here to register as a student.

Early registration ends September 1, 2010. Any registration after that date must be done at the conference and will be $200 per person.

Note: All fields but fax are required.
Organization (no abbreviations, please)
Address
City
State, zip	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NL NT NS NU ON PE QC SK YT Other
Phone
Fax
Email
Attendee Name and Title ($175.00 each)	x
Total: $175.00

For Questions About Registration

Jennifer Dickie
3300 Washtenaw Suite 220
Ann Arbor, MI 48104
Phone: (734) 677-0503
Fax: (734) 677-2407
jdickie@ucia2.com

For Payments by Check, Mail to:

Larry Amburgey
Attention: Michigan Downtown Conference
1223 Turner Street, Suite 101
Lansing, MI 48906
amburgey@paceandpartners.com

Make checks payable to:
Michigan Downtown Conference

Refund/Cancellation Policy

All cancellations must be submitted in writing and are subject to a $60.00 cancellation fee. No refunds will be given for cancellation requests received after September 1, 2010. Email cancellation request to Jennifer Dickie.