Salutation:	Mr. Mrs. Ms. Dr.
Name:
Title:
Company:
Mailing Address:
City:    State:    Zip:
Phone:	( )
Fax:	( )
E-mail:	* Required field
Website:

(A)		$585	Finance Seminar (Two Days)
(B)		$785	Finance Seminar + All Day Saturday Workshop (Three Days)
(C)		$710	Finance Seminar + Half Day Saturday Workshop Select One: Infrastructure Workshop Or: Grants Workshop
(D)		$225	Saturday All Day Workshop ONLY
(E)		$150	Half Day Saturday Workshop Select One: Infrastructure Workshop Or: Grants Workshop
(F)		$65	Order Binder Only - Infrastructure Workshop
(G)		$65	Order Binder Only - Grants Workshop
(H)		$100	Order Binder Only - Finance Seminar
			Handbooks will be shipped the week after the event (Your local  Sales Tax and actual Shipping will be added)
(I)		$ 20	Saturday Lunch for Attendee (Optional)
(J)		$ 45	Spouse/Guest Meal Package for Workshop
(K)		$120	Spouse/Guest Meal Package for Seminar   Guest Name:

• $50 Discount for the attendance of 4 or more from the same District when registering for the seminar at the same time
  (Not good on workshops only.)  
  NOT GOOD WITH ANY OTHER DISCOUNTS.
• $25.00 Early registration discount (must receive payment by 9/30/09) Good on Options A B and C only.

Sub Total of Registration	$
Subtract $50 Discount for 4 or more*	$	(if applicable)
Subtract $25.00 Early Registration*   *Good on seminar registration ONLY	$	(if applicable)
Certification Fee ($35.00)	$	(if applicable)
Total Registration Fee	$

Special Needs: Wheelchair Access Visually Impaired Hearing Impaired Vegetarian Meals Other

METHOD OF PAYMENT: Payable to Special District Institute

Check Credit Card Invoice - PO#:

If you are planning on paying by credit card, please fax your credit card information to 760-643-1761 or e-mail it to trishansell@aol.com.