76th Annual Meeting
The U.S. Conference of Mayors
76th Annual Meeting
Conference Registration
June 20-24, 2008
Miami

WORKFORCE DEVELOPMENT COUNCIL MEMBER REGISTRATION FORM

First Name *:
Last Name *:
Title:
Organization *:
Street Address *:
City *:
State *:
Country:
ZIP *:
Phone *:
Fax:
E-Mail *:
Preferred Name on Badge (FIRST NAME ONLY) *:
Attendee(s) has
special needs *:
 Yes No
(If you have special needs USCM will contact.)

Payment Information
Registration Fees (select one) *:

MEMBERNON-MEMBER
Advance Registration Fee
(Payable by May 23):		$700$1,350

Refunds will be made for cancellations received in writing by May 23 (less a $100.00 service fee). NO REFUNDS will be made for cancellations received After May 23, 2007.