Conference Registration Form 2019

MNADE Conference (9/26) and Minnesota State Developmental Education Summit (9/27) Registration Form

Chase on the Lake Resort, Walker, MN
Please select one of the following options: *

I plan to attend the MNADE conference ONLY. (Thursday, September 26th) I plan to attend the Minnesota State Developmental Education Summit ONLY. (Friday) I plan to attend BOTH events (Thursday and Friday, September 26-27)
Name *

First Name Last Name
E-mail *
Position
Preferred Phone Number *
Institution *
If "other", please list:
Select your area(s) of interest: *

Reading Mathematics Writing Counseling/Advising ESOL Other
If "other", please list:
Please help us with accurate meal counts.

You will need a ticket for each meal during the event, which are determined by this registration form.
Will you be joining us for a "grab and go" breakfast on Thursday, 9/26?

Yes No
Will you be joining us for lunch on Thursday, 9/26?

Yes No
Will you be joining us for dinner on Thursday, 9/26 from 6:00 - 7:30 PM?

Yes No
Will you be joining us for breakfast Friday morning, 9/27?

Yes No
Will you be joining us for lunch on Friday 9/27?

Yes No
If you have any dietary restrictions, please list them here and we will do our best to accommodate your needs.

No Dietary Restrictions Vegan Vegetarian Dairy-Free Gluten-Free
Payment *

I plan to pay using a credit card/PayPal. I plan to send a check. I plan to pay by institutional check. I am a presenter. (One conference fee waived per session.)
Upon submission you will be redirected to the MNADE payment page.

(Complete by midnight, September 3rd for the early bird discount.)
If you are presenting, your conference fee is waived.

Please pay the 2020 membership of $20.00.

(Upon submission, you will be redirected to the MNADE website so you may pay your membership. Only select the Pay Now" option, you do NOT need to fill out the membership form.)
Please make your check payable to MNADE.

Then send your check to

Stephanie Houdek

CH 226 Math Skills Center

720 4th Avenue South

St. Cloud, MN 56301

(Must be postmarked by midnight, September 3rd for the early bird discount.)
Please make checks payable to MNADE.

Send the check to

Stephanie Houdek

CH 226 Math Skills Center

720 4th Avenue South

St. Cloud, MN 56301

(Must be postmarked by midnight, September 3rd for the early bird discount.)

The vendor number is 0000236358.
Registration fees:
- The MNADE Conference rate is $60.00 through Sept 3 (plus $20.00 membership), the MNADE Conference rate after Sept 3 is $120.00
- Developmental Education Summit: no cost to attendees, the system office is funding this event
- Presenters: your conference fee is waived. If there are multiple presenters, one conference fee will be waived per session. Please pay your 2020 membership ($20.00)
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MNADE Conference (9/26) and Minnesota State Developmental Education Summit (9/27) Registration Form

Please help us with accurate meal counts.