REGISTRATION FORM
Please complete the form below.

It is necessary for correct price calculations that you use the TAB key to move through the fields on this form
or click on the Total Due Field before clicking Submit.
 
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Number of Days Attending:
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Day(s) Attending: Do NOT mark any days if you selected Full Conference.

Lagniappe: Ordering from this section ends February 28. Any items selected from this section after February 28 will not be filled.
 
A Syllabus on CD will be provided to every registrant.
You may choose to receive a printed copy, or a flash drive for $25.00
Click here to indicate if you wish to receive these "extra" items.
Syllabus on Flash Drive
Printed Syllabus
 
Pre-Order Books:
A limited quantity of the books designated with an asteriisk will be available in the conference bookstore.
All other books are available by pre-order only.
 

Please help us ensure adequate seating by clicking the button for each and every General Session you plan to attend.
Wednesday, March 23, 2011
5:00 – 6:30 PM Free Time: Hotel Check-In, Dinner On Own

Thursday, March 24, 2011
Thursday Breakouts (Choose ONE)
12:00 - 1:00 PM: Thursday Luncheon (Please indicate choice)
2:45-3:15 PM Dessert and Coffee break
4:45 PM Free Time/Dinner: (Choose ONE)
ALL SPEAKERS Please Select - Speaker Dinner @ Mulates!!

Friday, March 25, 2011
10:30 -11:30 AM Friday Breakouts: (Choose ONE)
11:45 AM - 12:15 PM Award Luncheon with Dessert, Baby Wearing Fashion Show: (Indicate Choice of Meal)
2:30-3:00 PM Closing Session: Evaluations/wrap up/door prizes

Breakfast Tickets: (For those not staying @ the Hampton)

Extra Lunch Tickets:



 
The following may receive a discounted price:
General Public not requiring Continuing Education Units:
La Leche League Leaders
WIC Breastfeeding Peer Counselors
Students with valid ID
Select the days you are attending from the list below:
Conference Speakers: Please indicate the days you are attending.....
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Credit Card Type:
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Make all checks payable to: LLL AL/MS/LA
PayPal payments may be sent to: almsla@yahoo.com
Please Print this page for your records before clicking the SUBMIT button.