2024 MLT CONFERENCE REGISTRATION - INDIVIDUAL REGISTRATION

The Alabama Education Association is hosting its annual Minority Leadership Training (MLT) Conference on November 1-3, 2024, at the Perdido Beach Resort, 27200 Perdido Beach Blvd, Orange Beach, Alabama. Registration will begin on Friday, November 1, 2024, at 4:00 p.m., with the opening session beginning at 7:00 p.m.

Hotel Information:

An Individual hotel reservation can only be made and confirmed AFTER confirmation of individual conference registration. The AEA Group Rate Code of $159, is available until the end of September. After September, standard room rates will apply based on availability only. A credit card and first night’s room and tax will be required to guarantee the reservation.

THIS FORM IS NOT FOR GROUP REGISTRATIONS.

IF YOU ARE REGISTERING A GROUP FOR THE CONFERENCE

OR

IF YOU ARE PAYING FOR AN INDIVIDUAL REGISTRATION BY CHECK OR PURCHASE ORDER

CONTACT THE MLT CONFERENCE TEAM AT PAMELA.FOSSETT@ALAEDU.ORG.

Full Name*

First NameLast Name

AEA Membership Number*

Ethnicity*

Are you an Early Career Educator? (0-10 years of experience)*

Local Association (no abbreviations, please)*

Example: Montgomery County Education Association

Physical Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Personal Email Address*

Personal Cell Number*

Area CodePhone Number

Dietary Restrictions

Conference Meals

Conference registration includes meals on Friday, November 1; Saturday, November 2; and Sunday, November 3. If you are bringing guests and would like for them to participate in meals provided for conference participants, each guest, including children, must be registered for the conference. A conference name badge will be required to be worn at all meal functions.

REGISTRATION FEES ARE NON-REFUNDABLE.

Guest Information (If no guest, insert n/a.)*

My Products

AEA Member$50.00

Quantity

AEA Non-Member$250.00

Quantity

AEA Guest$50.00

Quantity
Item subtotal:$0.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Payment Information:

$40 Registration Fee for AEA members until September 16, 2024.
$50 Registration Fee for AEA members until October 15, 2024.

$60 Registration Fee for AEA members until October 28, 2024.

Online registration closes on October 28, 2024. After this date, only on-site registration is available for $75.

$250 Registration Fee for non-AEA members

REGISTRATION FEES ARE NON-REFUNDABLE.

IF PAYING BY CHECK OR PURCHASE ORDER, CONTACT THE MLT CONFERENCE TEAM AT PAMELA.FOSSETT@ALAEDU.ORG.

Payment Type*

Credit CardCheckPurchase Order

Your signature below confirms that you are aware that registration fees are non-refundable and that all information entered is correct.

Signature*