November 1-3, 2023

Registration: MAME/MASL50

Questions?
Contact: MASL Database Manager, Karen Becknell
BEFORE filling out the form.
[email protected]

Name*

Email*

This address is used for your subscription to MASL listserv.

Email Confirmation*

Phone Number*

Mobile Phone Number*

Membership (Select one)*

Renewal
New Member

Other Memberships you hold (Check all which apply)*

ALA
AASL
ISTE
MACUL
MLA
MRA
NONE of the ABOVE

This is my first time attending a MAME or MASL conference conference*

Would you like to be added to the MASL LISTSERV?*

YES
NO THANKS
I am currently subscribed to masllist
Change Email listserv address
Please subscribe me to the listserv using the email address I entered on the registration form.

**Contact Information (Published in the Directory)**

This Address is my*

My WORK information (Recommended)
My HOME information

Published Address*

School or Building Name:*

Work phone Number (with extension if necessary)*

Secondary Contact Information

This unpublished information will only be used to contact you if your listed contact information becomes unavailable.

Unpublished Address*

Email address NOT connected with your work.*

Professional/Educational Information

Working*

Student*

If you select STUDENT, enter the school and program in which you are enrolled:

Retired*

Employer:*

Job Title:*

Michigan COUNTY where employed:*

Region: MASL Regions are based on the Michigan COUNTY where you work. ( If you don't know your region number, it can be found on the MASL website: http://www.mimasl.org/region-information.html) It may be necessary to copy/paste this link into your browser.*

Area of Responsibility

Check as many as apply:

Area of Responsibility:*

District Supervison
Elementary
Middle School/Junior High
High School
Multi-Level Assignment
College/University
ISD/REMC/RESA
College Student
Classroom Teacher
Public Library
Commercial
Retired

Michigan Educational Endorsements held:

Endorsements: Check all which apply:*

ND-Library Media
NP-Educational Technology
NR-Computer Science
BX-Language Arts- Elementary or Secondary
BA-English
BR-Reading Specialist
None of the Above

Other Michigan Endorsements held*

Advanced Degrees held*

Conference Fees

Conference Fees*

Regular Member, Full Conference ($300.00)
Thursday AND Friday
Meals Included
Regular Member ONE DAY ONLY ($180.00)
Thursday OR Friday
Meals Included
Student, Retiree, Honorary & Lifetime Members Full Conference ($230.00)
Thursday AND Friday
Meals Included
Student, Retiree, Honorary & Lifetime Members ONE DAY ONLY ($180.00)
Thursday OR Friday
Meals Included
Retired Lifetime/Honorary Life Members Volunteering 2 hours/day. ($0.00)
Thursday and/or Friday
Please contact Teri Belcher, MAME4ever Chair or Karen Becknell , Database Manager if you wish to register as a 2 hour Volunteer for a Volunteer Registration form.
PreConference ONLY ($135.00)
Wednesday, November 1, 2023 ONLY.
Select this Option if you are NOT planning on attending either conference day (Thursday, Friday).
If you have questions, contact the MAME Database Manager BEFORE selecting this option.
Includes Membership
Includes Meals

Days Attending - Check All Which Apply*

Wednesday
Thursday
Friday

Additional Conference Events

PreConference
Wednesday, November 1, 2023; 9 AM - 5 PM; Conservatory.
Includes Meals
Select this option if you are attending the conference and wish to add another day-long session.
$85.00 ea.
Add
Wednesday WELCOME RECEPTION
5:30 - 7:00 Wednesday evening.
This event is FREE but you must REGISTER as we need an accurate count for the hotel kitchen.
$0.00 ea.
Add
Friday morning AUTHOR BREAKFAST
November 3, 2023. 7:30 -9.00 AN. Grand Ballroom Grande 2.
Breakfast with author Kelly J. Baptist, a Michigan Author.
This event is FREE but you must REGISTER as we need an accurate count for the hotel kitchen.
$0.00 ea.
Add

Special Anniversary Event!

Thursday evening, November 2. Grand Ballroom.

Dinner & Awards followed by Music, Mingling and Silent Auction with a Cash Bar.

NOTE: This event is FREE, but you must register.

Anniversary Dinner: Attendance*

I WILL Attend
I WILL NOT Attend

IF ATTENDING; Please Select your dinner choice:

Artichoke Chicken
Artichokes, wild mushrooms, re bell peppers, cream sauce paired with confetti rice and buttered broccolini.
Fettuccine Primavera
Seasonal vegetables, marinara sauce, bowtie pasta and parmesan cheese

Dietary Needs

Please select your dietary preference:*

None
Vegetarian
Vegan
Dairy Free
Gluten Free

Other:*

Special Interest Groups

SIG memberships must be renewed every year. It is possible to join more than one SIG. Membership fees are $2.00 each. Check each box for the SIG you wish to join.

SIG EL ($2.00)

Elementary

JHMS ($2.00)

Junior High/Middle School

HS ($2.00)

High School

IB ($2.00)

International Baccalaureate

MAMSA ($2.00)

Multi-Assignment School Librarians and Media Administrators

PPIC ($2.00)

Private, Parochial, Independent, Charter Schools

MAME4ever

Open to retired members at no charge who have paid the one-time Retired Lifetime membership fee.

TOTAL

$0.00

Registration Information

All conference fees include an annual membership fee: Regular Member - $50.00; Student or Retiree - $30.00. Annual membership runs from Conference to Conference.

Please note that REGISTRATION IS NOT FINAL UNTIL PAYMENT IS RECEIVED. Prior to October 30, 2023 payment is accepted by credit or debit card. Checks must be received no later than October 27, 2023.

If you need to pay by check, please note payment details below:

Checks should be Payable to MASL

If your check will not arrive by October 27,
BRING THE REGISTRATION CHECK WITH YOU
Present it when you pick up your badge and materials at the ON-SITE Registration Desk

Registration fees submitted by school districts/employers must be paid in full. Invoices will not be sent. If your employers requires a P.O., it must be accompanied by the check.

Any refund requests must be received BEFORE October 27, 2023. Membership dues and food costs will be deducted. Refunds will be made after the conference.

A registration receipt will be emailed to you after payment has been received. No receipts will be given at Conference Registration check-in. Print and save the email for your records; this is your only receipt.

Billing Information

Name*

Payment Method

Credit Card
Cash/Check Payment

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Phone Number*