Annual 2009 Convention Online Registration

April 19 – 21, 2009

Convention for members or designated guests only - non-member registration will forfeit processing fee*

* = Required Field
Registration Information
* Last Name		* First Name, Initial
Preferred Badge Name		Professional Title
* Company
* Address		State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
		* Zip/Postal Code
* City		Province
Country
* Work Telephone	( ) -
* Fax	( ) -
* Email
Special Needs
	(Dietary restrictions, hearing impaired, wheel chair accessible, etc.)
Spouse/Companion Name
*The B&CMA Annual Convention To register for the Convention, you must be a member for the 2009 calendar year. Spouse/Companion Registration is complimentary with paid member registration. Golf, tennis and tour fees for Spouses/Companions are the same price as for members.
Cancellations Cancellations postmarked or faxed by March 30, 2009 are entitled to a full refund. Cancellations received after this date will be subject to a 25% penalty fee off the total of the registration and event fees. Members sharing a single registration is prohibited but complete substitutions may be made without penalty. Individuals who do not attend and fail to cancel are not eligible for a refund.
Attendance Selection
Please Select One
Baker $895	Allied $995
Please Check if you will be participating in any activities
Golf, Monday April 20, 12:00 PM Member $275 Handicap Spouse/Companion $275 Handicap Golf Clinic, Sunday April 19, 2:00 PM Member $50 Spouse/Companion $50   Tennis Outing Sunday April 19, 3:00 PM Member $40 Spouse/Companion $40 Tennis Clinic, Sunday April 19, 2:00 PM Member $40 Spouse/Companion $40 San Antonio Tour, Tuesday April 21, 11:00 - 4:00 PM Member $85 Spouse/Companion $85
Payment Method - All Convention and Activity Registration fees must be paid in advance of the convention. All registration and event fee amounts shall be in US currency.
Credit Card Check or Money Order
Card Type Visa Master Card American Express Discover
Card Holder's Name:  (As displayed on card)
Card Number: Code:
Expiration: 1 2 3 4 5 6 7 8 9 10 11 12 / 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Credit Card Billing Address  (same as above)
Billing Address:		State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
		Zip/Postal Code
City		Province
Country
Please make checks payable to B&CMA and mail to: 6325 Woodside Court, Suite 125, Columbia, MD 21046 Checks must be received before the Convention. A confirmation letter will be sent after payment is received.
Questions? Please contact Kerry Kurowski, Education and Meetings Manager: (443) 545-1645, fax: (410) 290-8585 or email