Registration & Room List State Leadership Training Workshop & CMI - Chapter Management Institute October 21-24, 2009
School:		Phone:
Address:		Advisor:
School Tax ID Number:		_____ of _____ sheets

Student Name /    Room # ___________	T-Shirt size S.M.L.XL	M/F	Student Name /    Room # ___________	T-Shirt size S.M.L.XL	M/F
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3			3
4			4

Student Name /    Room # ___________	T-Shirt size S.M.L.XL	M/F	Student Name /    Room # ___________	T-Shirt size S.M.L.XL	M/F
1			1
2			2
3			3
4			4

Advisor Name /      Room # ____________ CMI - Chapter Management Institute	T-Shirt size S.M.L.XL	M/F	Advisor Name /      Room # ____________ CMI - Chapter Management Institute	T-Shirt size S.M.L.XL	M/F
1			1
2			2
3			3
4			4

Cost: includes room, meals and SLTW registration Single | $350.00 x _____ | = $____________ Double | $275.00 x _____ | = $____________ Triple | $250.00 x _____ | = $____________ Quad | $238.00 x _____ | = $____________ $150.00 CMI Registration x _____ | = $____________ (Includes all Materials for Chapter Operation) Total                   $____________

Due Date: Rooming list please mail or e-mail before October 2, 2009 Checks should be made out to: Florida SkillsUSA *Note: Late registrations please add $20.00 per person. Questions: please contact the state director Carl Miller

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