IAFP Spring Into Action - March 6-7, 2007
Crowne Plaza , Springfield , Illinois

REGISTRATION FORM

Name:                                                                                                          

Address:                                                                                                      

Phone:                                                        Fax:                                          

E-mail Address:                                                                                         

Please check the events you plan to attend.  There is a $25 fee to attend any portion of the meeting.  Students and Residents are not required to pay the fee. Should you require hotel reservations, contact the Crowne Plaza directly at 217-529-7777.  Reservations must be made by February 12^th in order to secure the special room rate of $124 single/double.     

Tuesday, March 6^th  

___   Finance Committee Meeting ( 11:00 a.m. – 1:00 p.m. )

____        Government Relations CME Program ( 1:00 p.m. – 5:30 p.m. )

_____        Optional Dinner ( 6:30 p.m. ) Sponsored by Blue Cross and Blue Shield of IL.

Wednesday, March 7^th

   ______     Breakfast Briefing (beginning at 7:00 a.m. )

  ______       Legislative Visits at the Capitol (Beginning at 9:00 a.m. )

 ___    Board of Directors Meeting ( 1:00 – 5:00 p.m. )

 ____  Yes, I would like to meet with my legislators!  (Please return this form by Feb. 26^th so we can make appointments!)

My Senator is:         _______       ____  My Rep. is: __________________________      (to find your legislators, visit www.ilga.gov)  

Please explain any special dietary or access needs you may have:                                

PAYMENT  __ Check enclosed payable to IAFP 

                   __Charge my (Visa  M/C  Amex)  #_________________________
                        exp____ Signature   __________________________________

Please return this form and your $25 registration fee to the IAFP office:

4756 Main Street , Lisle , IL 60532
FAX: 630-435-0433
E-mail: iafp@iafp.com