Delegate Registration - Step 1

* indicates mandatory fields

Delegate Registration Information * As it will appear on the name tag

First Name*:
Surname*:
Title / Position*:
Municipality / Company Name*:
Newly elected in 2010?*	Yes No
Address*:
City / Town*:
Province*:
Country*:
Postal Code*:
Business Phone*:
Fax:
E-mail*:
Confirm E-mail*:
Please check one*:	AUMA Member Non-Member Life Member Other
Special Request: (i.e. dietary restrictions):

Convention Registration Fees:

Delegate Type: * Please check off the box with the appropriate fee	Early Bird fee Until October 31	Full fee After October 31	Amount
Member Registration	$625	$750	$
Tuesday Wednesday Member One Day Registration	$525	$575	$
Non-Member Registration	$800	$950	$
Tuesday Wednesday Non-Member One Day Registration	$625	$675	$

Pre-convention Session - Monday, November 22 (9:00 am - 4:00 pm)	Early Bird Until October 31	After October 31	Amount
Now that I've Been Elected	$325	$325	$
Is Your Municipality Viable? How To Find Out	$325	$325	$
What New Elected Officials Need To Know (and what Returning / Veteran Elected Officials Should Know)	$325	$325	$
Water Conservation Planning: Planning for Implementation	$325	$325	$
Elected Official Education Program: Effective Decision Making	$325	$325	$
*Limited capacity. Registration on first-come, first-served bases	Clear Selection

Tailgate Party Tickets - Wednesday, November 24	Early Bird Until October 31	After October 31	Amount
Individual Ticket	# Tickets x $95	# Tickets x $95	$
Tickets to the Tailgate party are NOT included in delegate registration fee. Tickets are non-refundable. Table purchases are not available this year.

Partners' Program- Tuesday, November 23 and Wednesday, November 24	Early Bird Until October 31	After October 31	Amount
Tuesday, November 23: 10:00 am - 2:30 pm Stampin' Up Workshop Sold Out	$85	$85	$
Wednesday, November 24: 10:00 am - 2:00 Art In The Core Sold Out	$45	$45	$
	Clear Selection Clear Selection
Participant's First Name: Last Name: Participant's E-mail:

AUMA's Earlybird Incentive!

Purchase your Tailgate Party tickets by midnight October 31, 2010 and be eligible for a draw prize valued over $1,000! Details to be announced

The winning entry will be drawn during the Tailgate Party and you must be present to claim your prize.

Sub Total

GST 5%
# R123692360

Total Due:

F.O.I.P.
The personal information on this form will be used for the purposes of managing the convention only. The information is protected by the provisions of the Alberta Freedom of Information and Protection of Privacy Act.

Refunds and Cancellations
All cancellations must be submitted in writing to: AUMA, AMG Solutions Inc, ATTN: Leah Doyle PO Box 53058 14035 105 Ave Edmonton, AB T5N 0Z1 or email: ldoyle@edmonton.com Requests received prior to October 31, 2010 4:00pm MST will receive a refund less a $75 administrative fee. All refunds will be issued after the AUMA 2010 Convention. Cancellations after October 31, will not be eligible for a refund.