DET/CHE
Membership Renewal
&
Conference Registration Form
| Name: | Title: |
| School (or Affiliation): | |
| Address: | |
| City, State: | Zip: |
| Phone: | Fax: |
| E-mail: | WebSite: |
| [ ] 97-98 DET/CHE Membership Renewal | $ 50.00 | __________ |
| [ ] Conference Registration DET/CHE Member | $145.00 | __________ |
| [ ] Conference Registration Non-Member | $165.00 | __________ |
| [ ] Late reg. fee (after Nov. 1, 1997) | $ 20.00 | __________ |
| [ ] Additional Conference Dinner Guests ______ | $ 25.00 | __________ |
| [ ] Membership & Conference | Sub Total | __________ |
To Reserve Lodging at Lake Arrowhead, Click Here
| Sum Grand Total on Lodging Form Before You Make Out Your Check to "DET/CHE" |