GMC Registration Form

You may print this form, complete it, and mail it to the address below with your payment. You may also complete it online and submit it via e-mail.

Please register the following person(s) for the Georgia Marketing Council Summer Conference on June 2, 2006. $75.00 per person (GMC members)/$150.00 per person (non-members).

Meeting:

Credit Union:

Telephone Number:

Address:

Fax Number:

E-mail Address:

Name:

Will Attend:

Thurs. Dinner Only

Fri. Meeting Only

Both

Thurs. Dinner Only

Fri. Meeting Only

Both

Thurs. Dinner Only

Fri. Meeting Only

Both

Thurs. Dinner Only

Fri. Meeting Only

Both

If you have any special dietary needs, please specify:

Payment options:

You may submit this form via e-mail and mail your payment to the address below.

You may submit this form via e-mail and bring your payment to the meeting.

Make your check/share draft payable to The Georgia Marketing Council

Georgia Marketing Council
c/o Leatrice Dooley
Atlanta City Employees Credit Union
670 Metropolitan Parkway
Atlanta, Georgia 30310

If you need further assistance, please contact Leatrice Dooley at (404) 658-6544 or leatriced@cuatlanta.org.