KYMATYC 2023 Registration Form

KYMATYC 2023 Registration Form

Friday - Saturday, Feb. 24-25, 2023 Boone Tavern, Berea, KY
Full Name

First Name Last Name
E-mail
Address

Street Address

Street Address Line 2

City State

Postal / Zip Code Country
Phone Number

Area Code Phone Number
College/University
Conference Fees

	Before Feb. 7th	After Feb. 7th
Conference Registration	$80.00	$90.00
Presenter Discount ($20.00 per mini-session, $40.00 per sesssion - can be split among multiple presenters)
Adjunct Registration	$10.00*	$10.00*
Vendor Registration	$350.00	$400.00

*Adjunct registration will be refunded at check-in.

Conference Registration Total
Vendor Registration Total
Room Reservations
Room Rates

(all accommodations are non-smoking)

$119 King $94 Queen $95 Double Beds $89 Full $99 Junior King

Hotel reservations must be placed directly with Boone Tavern by January 25, 2023 to guarantee a room. Please call 1-800-366-9358 and use reservation code 240896 when booking. Room requests after January 25 are subject to availability.
Meal Reservations (drinks, tax, and gratuity included in this amount)*
Number of Adult Meals - Friday Plated Dinner $38.70/adult
Number of Adult Meals - Saturday Breakfast Buffet $24.51/adult
Total - All Meals $
Grand Total - Enter total of entire form here.
*Please email smccormack0001@kctcs.edu with any dietary restrictions.
If you wish to pay by credit/debit card, you may do so through the registration link and secure PayPal link on the KYMATYC website at http://ky.matyc.org/conference.html.

Please keep KYMATYC costs low by reporting any changes in the registration form or cancellations in a timely manner. Refunds will be given at the discretion of the Executive Board. If you have any questions, please email smccormack0001@kctcs.edu. Thank you!
KYMATYC is committed to serving all conference attendees with disabilities and adheres to the guidelines set forth in the Americans with Disabilities Act. Attendees with disabilities requiring special accommodations should contact KYMATYC before February 3, 2023.
Please print a copy of this form for your personal records, especially if you may need a copy for reimbursement purposes at your college or university.
Should be Empty:

KYMATYC 2023 Registration Form

Conference Fees

Room Reservations

Meal Reservations (drinks, tax, and gratuity included in this amount)*