2012 Officiating Clinic
at the
ECAC Convention & Trade Show

Saturday, September 29, 2012

Registration Form

Clinic Registration Fee:

$70 (inlcudes Saturday evening dinner & reception)

Sunday monring golf is an additional $80.00

Hotel Registration - $149.00/night

You may call the Mystic Marriott Hotel & Spa directly at 866-449-7390 or visit their website at www.mysticmarriott.com. To receive the preferred ECAC rate of $149, be sure to mention the group code ECAECAA.

First Name:

Last Name:

Address:

Phone Number:

Email:


Please indicate in which events you will partake:
Clinic Registration Fee ($70)
Golf ($80)

Registration Total:

If you wish to pay by check, please send to:

Officiating Clinic
c/o MaryAnn Worsman
ECAC
1311 Craigville Beach Road
Centerville, MA 02632

If you wish to pay by credit card, please print off this form and fax it back to 508-778-4935.

Looking forward to seeing you at the Officiating Clinic.