2019 MASE Retirement Form - Best Practices Conference

Retiree Information Form

Are You Retiring this Year?

We will honor MASE members who are retiring in 2019 at the opening dinner session on Wednesday evening at the MASE Best Practices Conference.

We will only recognize members who indicate they would like that recognition.

Question Title

* 1. Member Information

First Name

Last Name

Title

Organization/District

Question Title

* 2. Are you attending the MASE Best Practices Conference?

Yes

Question Title

* 3. Do you wish to be recognized during the retiree portion of the conference?

Yes, I would like to be recognized

No, I would NOT like to be recognized