I.D.E.A. Workshop Registration Form
ILLINOIS DRAFTING EDUCATOR'S ASSOCIATION 2004-2005 MEMEBERSHIP & FALL WORKSHOP REGISTRATION FORM HEARTLAND COMMUNITY COLLEGE - NORMAL, ILLINOIS NOVEMBER 10th and 11th 2004
School
Educator's Name:
School Address:
City/State/Zip:
School Phone:
Home Phone:
School E-mail:
Home E-mail:

Please Complete Appropriate Boxes Below

	Check One
Membership Status:	New	Renewal	Retired
Membership & Activity Options	Dues/Fees	Fill in Here
Registration, Dues and Lunch (Before November 1)	$55.00
Registration, Dues and Lunch (Before November 1) *	$50.00
Late Registration, Dues and Lunch (After November 1)	$60.00
Regional Director's Registration and Lunch	$40.00
Retiree Registration and Lunch	$35.00
Guest Registration	$5.00
Additional Lunch Tickets [For Thursday or Guest(s)]	$7.50
Dues Only (Before December 1)	$15.00
Dues Only (After December 1)	$30.00
Mail this completed form and check made payable to the I.D.E.A. to:	Total
(*) - If you elect to have the "On the Board" newsletter e-mailed to you, in lieu of receiving it via snail mail, you will receive a $5.00 discount for dues, workshop and luncheon.
Send completed registration form and check made out to the IDEA to: Howard Miller I.D.E.A. Financial Director 1137 Pine St. Batavia, IL 60510
I will be attending the Thursday CAD User's Group too!	Check Here

I.D.E.A. Hotel Reservation Form
Jumer's Chatea - Bloomington 1601 Jumer Dr. Bloomington, IL 61704 Toll-Free Reservation: 1-800-523-8460
Educator's Name:
School
Address:
City/State/Zip:
School Phone:
Home Address:
City/State/Zip:
Home Phone:
Group Affiliation: Illinois Drafting Educator's Association
Credit Card - (Circle One) AE / MC / VISA / DC and print #:

Room Reservation Information

	Check One
Room type:	1 Person	2 Persons	Extra Person
Beds:	Single	Double w. Queen	Double w. 2 Queens
Nights you will stay:	1	2	3

TO INSURE AN AVAILABLE ROOM, RESERVATIONS MUST BE MADE AS SOON AS POSSIBLE. PLEASE MAIL THIS FORM IN, OR PHONE JUMER'S FOR RESERVATIONS.