PLEASE CLICK EACH BOX THAT APPLIES TO YOUR REGISTRATION

 

2019 Guest Registration, Golf Outing Registration and Fun Run Registration for the Fall Training Conference
Wednesday, September 4 - Friday, September 6, 2019
8:00 a.m. - 5:00 p.m.
Location: Grand Hotel
Directions: PO Box 286, Mackinac Island, MI 49757

CONTACT INFORMATION *required
First Name: *

Last Name: *

E-mail: *

Office Phone: *

Cell Phone: *

 

AGENCY / ORGANIZATION
Department: *

Academy Session/MPEDS:

MCOLES #:

     
CONFERENCE INFORMATION
   
Enter total number of guests in box on the left: Guest fee- $50.00 each
 (Guest Registration Fee covers Ferry and Conference attendance)


Enter the first and last name of your guest(s) in the box below

The 2019 FBINAA Michigan Chapter Fall Training Conference

will be held at the Grand Hotel, Mackinac Island, MI.
September 4th, 5th & 6th 2019

Each conference attendee is individually responsible for the cost of their Hotel Stay.  The Grand Hotel includes meals with their stay.

*Star Line Ferry Service is included in the Guest Registration Fee*

Payment options: Go to the Chapter webpage (www.fbinaamichigan.org) and click on the Donate button.
Make sure to identify in the free text area whom you are paying for and what you are paying for.
If you are paying by check please make checks payable to: FBINAA Michigan Chapter
Mail To: FBINAA Michigan
       P.O. Box 413
                   Lakeland, MI 48143

Make Your Hotel Reservation with The Grand Hotel by August 2, 2019 
Hotel Information will be provided in the confirmation email.


Prices are subject to 6% Michigan Sales Tax (unless the guest can provide a tax exemption letter) and an
$8.50 per person baggage handling charge.  As mandated by law, a 2% Mackinac Island assessment applies to the  room rate.
All payments and deposits have to come from the tax exempt entity via check or credit card

Deadline for Registration: August 2, 2019
Cancellation/Refunds: NO REFUNDS if cancelled after August 2, 2019

JUST FOR FUN

Would you like to participate in any of the following?
FUN RUN ( One mile Three mile) Number in party:
 Please indicate number and sizes of shirts required: (eg. 1 XL)
NA Golf Outing on September 4, 2019  at 8:00 a.m. (Cost $65 per person)
NA Golf Outing + Guest - 8:00 a.m. (Cost $65 per person) Applicant + 3 guests=$260

If you know the members of your team enter names below. ONLY CLICK BOX NEXT TO NAMES THAT YOU ARE PAYING FOR (including yourself):

1.  3.
2.  4.

PAYMENT OPTIONS

Total Amount Due:
$

If paying by Credit Card you must submit this registration before going to the
Chapter website PayPal Link marked (DONATE). You will find the Pay Pal Link at fbinaamichigan.org
Please indicate whom and what you are paying for in the free text area of PayPal.



 

Make checks payable and send to:
FBINAA Michigan Chapter
P.O. Box 413
Lakeland, MI 48143

2019 DUES MUST BE PAID TO ATTEND CONFERENCE
Contact Monica Yesh. myesh@tiasafety.us  (734-260-0381) or Treasurer Garth Burnside: BurnsideG@michigan.gov  (734-260-5850)  or Diane Brown at brownd16@michigan.gov with any questions