---- REGISTRATION FORM ----
(Print and mail to register for events)

NAME OF EVENT ______________________________________________________

Please complete this form and return with payment to:

LMA/LCAA/LMCA – (Whichever is appropriate at the time)
P. O. Box 4327
Baton Rouge, LA 70821-4327

NAME _____________________________________ TITLE ________________________

Name to appear on badge: ___________________________________________________________________

MUNICIPALITY __________________________________________________________

ADDRESS ________________________________________________________________

CITY ______________________________________ STATE/ZIP ___________________

TELEPHONE _____/_________________ SPOUSE’S NAME _____________________
(Area Code) (Number)                                                                 (If attending)

 IF YOU WISH HOTEL ACCOMMODATIONS, PLEASE CONTACT THE HOTEL DIRECTLY.  INFORMATION ON LMA ROOM BLOCKS ASSOCIATED WITH THE CONFERENCE CAN BE FOUND IN THE CONFERENCE ARTICLE IN THE LOUISIANA MUNICIPAL REVIEW SECTION.  (CLICK HERE)

PAYMENT OF  REGISTRATION FEE BY CHECK OR MONEY ORDER MUST ACCOMPANY REGISTRATION FORMS RETURNED TO THE LMA OFFICE.

PLEASE --- ONE FORM PER PERSON!

(MAKE PHOTOCOPIES IF NEEDED FOR ADDITIONAL REGISTRANTS)