DATE - Wednesday, June 27 (8:30 am Start) - Thursday, June 28 (12:30pm End)

LOCATION - Augusta Civic Center, 76 Community Drive, Augusta, ME

Conference registration does not include overnight accommodations.

Please contact one of the hotels (click here) to directly reserve your room at a discounted rate.


First Name

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* 1. First Name

Last Name

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* 2. Last Name

Title - Select one:

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* 3. Title - Select one:

Organization Name

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* 4. Organization Name

Billing Address (Street or PO Box)

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* 5. Billing Address (Street or PO Box)

Billing City

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* 6. Billing City

Billing State

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* 7. Billing State

Billing ZIP Code

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* 8. Billing ZIP Code

Phone

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* 9. Phone

Registrant's email

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* 10. Registrant's email

Additional confirmation email

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* 11. Additional confirmation email

Select your registration option:

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* 12. Select your registration option:

Are you registering a guest or multiple guests?

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* 13. Are you registering a guest or multiple guests?

Guest # 1 - First Name

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* 14. Guest # 1 - First Name

Guest # 1 Last Name

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* 15. Guest # 1 Last Name

Guest # 2 - First Name

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* 16. Guest # 2 - First Name

Guest # 2 - Last Name

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* 17. Guest # 2 - Last Name

GUEST MEALS - Wednesday (All meals buffet style)

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* 18. GUEST MEALS - Wednesday (All meals buffet style)

  Lunch - $20.00 Dinner/Awards Banquet - $40.00
Wednesday - Guest # 1
Wednesday - Guest # 2
GUEST MEAL - Thursday ( Buffet Style)

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* 19. GUEST MEAL - Thursday ( Buffet Style)

  Guest # 1 Guest # 2
Thursday  (Breakfast) - $20.00 (price per each guest)
Please list any dietary restrictions for you or your guest(s). (Gluten, allergies, etc.)

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* 20. Please list any dietary restrictions for you or your guest(s). (Gluten, allergies, etc.)

Please list any accessibility accommodation requirements for you or your guest.

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* 21. Please list any accessibility accommodation requirements for you or your guest.

Conference registrations are accepted through June 20, 2018.

Conference registrations are payable online:  https://paymaine.gov/.  Please either pay by credit card or electronic check (ACH).  NO REFUNDS

Please direct all registration questions to Georgette Valliere at georgette.valliere@maine.gov or call: (207) 624-6605.

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