CEI Membership Form

1999 Fall Conference Registration Form
Holiday Inn Conference Center
1-800-262-5737
October 3-5, 1999, Southern Pines, NC

Name:	_____________________________________________
College:	_____________________________________________
Address:	_____________________________________________
	_____________________________________________
Phone:	_____________________________________________
E-mail:	_____________________________________________
If you wish your conference registration confirmation to be mailed to your home rather than to your college, please provide your home mailing address below:
	_____________________________________________
	_____________________________________________
Status:	Full Time ______ Part Time ______
CEI Member?	Yes ______ No ______
I plan to join or renew now for $10.00 ______
Note: Membership is renewable each year at the time of the fall conference. Adjunct faculty pay no dues.

Registration:	$65.00
Member dues:	$10.00
Non-member:	$75.00
Total Enclosed:	______
Registration fee includes the following: All Sessions listed on the program. Three meals: breakfast both Monday and Tuesday, and luncheon on Monday Receptions Sunday and Monday evenings Hospitality Room
Please make your accommodations with the Holiday Inn in Southern Pines 1-800-262-5737.
Do you plan to stay at the Holiday Inn? ______ Do you plan to eat the three meals provided? ______
Special Diet ______	Vegetarian ______
Return this registration form and your check made out to CEI by September 10 to Thomas LaBelle, CEI Secretary/Treasurer Central Carolina Community College 1105 Kelly Drive Sanford, NC 27330 No refunds after September 15, 1999. Questions? CallTom LaBelle at CCCC (919) 718-7224 or e-mail tlabelle@cccc.edu