MSIECA

REGISTRATION
May 12, 2011
The 2011 Annual Legislative Conference

Tremont Grand Conference Center
225 North Charles Street
Baltimore, MD 21201

PRINT AND MAIL THIS RESERVATION FORM WITH REGISTRATION FEE
($50 member or $60 guest) PAYABLE TO: MSIECA.
Provide the requested information and print this page prior to selecting the submit button below. In addition to submitting this page, mail the completed application with appropriate dues payment to:

MSIECA
P.O. Box 20105
Baltimore, MD 21284-0105
Phone: 410-494-2449 <> FAX: 410-494-2088
E-mail: info@msieca.org
EID#: 52-22-07083


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