Text Box: Mt. Vernon Conference XXIX Registration Form   Thursday, October 30, 2008 And Friday, October 31, 2008   Attendee _____________________________________________ Day (s)  30 _____  31 ____ Job Title ________________________________ Facility Name & District ______________ Address _________________________________ City/State/Zip _______________________ Facility Phone Number _____________________ Contact Name ______________________ Regional Superintendent Name (if applicable) _____________________________________   Please indicate if an interpreter is needed.___________   Organizational                         $15.00 per attendee one day      $25.00 per attendee two days Individual                                  $35.00 per attendee one or two days  Administrator Academy        $50.00 additional fee per academy   Total registration                                                               ____________ (list may be attached) Total Administrator Academy                                        ____________ (additional fee $50.00)    Indicate day (s) for Academy            Thursday _________ and/or Friday ______ Total Enclosed or to be billed                                         $_____________   Send registration form and check payable to:        Bryan Cross, Reg. Supt. of Schools                                                                                            Attn:  Mt. Vernon Conference                                                                                            1714 Broadway                                                                                            Mt. Vernon, IL  62864                                                                                            618-244-8040   Fax this form and we can bill you or your district to:  618-241-7870. Emailing is available for registration:         pgarrett@roe25.com This form is available on our website:         www.roe25.com   All registrants will receive a conference name badge that is required to be worn while attending the conference.  Deadline for those to be mailed is October 24, 2008.  Attendees registering after October 19, 2007 may pick up their name badges at the conference registration table in the lobby of Building H.   A continuing Professional Development Units (CPDU) label of completion will be provided at the end of sessions to each person in attendance.  Labels ware to be placed on the CPDU Evidence of Completion form included in the conference program.   **No refunds will be issued after October 1, 2008**