2006 Missouri Music Teachers Association Conference

Pre-Registration Form

Name: ____________________________________________________ Phone: ________________________________

Address: _________________________________________________________________________________________

City: _____________________________________ State: _________ Zip: _____________________________________

Indicate number desired preceding each item listed below.

________ Pre-Registration Fee $40.00

                  ($45.00 at registration desk)

_________ Student Member (Registration fee is waived for students but they need to register using this form.)

 MTNA Foundation Raffle Tickets 

          _____ 1 @$5.00 

          _____ 6 @$25.00 

Friday Jazz Brunch - $14.00 - Menus with Conference Schedule

       _______Vegetarian

       _______ Non-Vegetarian

Saturday Luncheon - $10.00 (Student members are welcomed as guests of MMTA but must register.) Menus with Conference Schedule

       _______ Vegetarian

       _______ Non-Vegetarian

TOTAL $ _____________

Make checks payable to MMTA. Please include this form with explicit indications of what check covers. Mail this completed form and check to: Carol Borgstadt, 29327 Highway PP, Concordia, MO 64020

Pre-Registration Deadline is October 31, 2006

Pre-Registration Deadline for Teachers Entering Students in Auditions is September 29, 2006

Hampton Inn

8551 N. Church Road

Kansas City MO 64158

PH. 816-415-9600

Name: ___________________________________________________________________________________________

Address:__________________________________________________Phone:________________________________

City: ___________________________________________ State: ______ Zip:________________________________

Date of Arrival:_______ Time:_______ Date of Departure: _______ Please indicate the number of rooms you wish below.

 ______$85.00 plus tax

Room Rate includes Complimentary Breakfast

Ask for the “guiet side” when making reservations.

____ Check enclosed ___Discover ___ MasterCard ___ Visa Card #: _________________________

Expir. Date: ________

If calling for reservations: MENTION MMTA TO GET CONVENTION RATES

DEADLINE for reservations is October 16, 2006