50th ANNUAL CONFERENCE Embassy Suites and john Q. Hammons Center


August 8-10, 2018 Pre‐Registration Deadline is Wednesday, August 1, 2018


Officials, Employees, and Guests Spouses


Non‐Members


PRE‐REGISTRATION ON‐SITE REGISTRATION $125.00 $80.00


$145.00


$145.00 $100.00 $165.00


PLEASE ONLY USE THIS FORM IF YOU PLAN TO PAY BY CHECK


WE OFFER ONLINE REGISTRATION FOR THOSE PAYING BY CREDIT CARD ONLINE REGISTRATION – WWW.ARCOUNTIES.ORG


PLEASE FILL OUT A SEPARATE FORM FOR EACH COUNTY EMPLOYEE


YOU MAY COPY THIS FORM – INCOMPLETE FORMS WILL NOT BE PROCESSED PLEASE PRINT CLEARLY


NAME ___________________________________________________________________


COUNTY _________________________ TITLE ___________________________________ ADDRESS ___________________________________________________________________ CITY


E‐MAIL


_________________________ STATE ______________ ZIP _______________ ___________________________________________________________________


SPOUSE / GUEST REGISTERING YES __________ NO __________ (Pre‐Registration ‐ $80 for Spouse / $125 for Guest)


SPOUSE / GUEST NAME _____________________________________________ (Non‐County Employee)


AMOUNT ENCLOSED: __________ (Make Check Payable to: Association of Arkansas Counties) CONFERENCE REGISTRATION FEES MUST ACCOMPANY THIS FORM BEFORE REGISTRATION CAN BE PROCESSED


REFUND POLICY: Notify AAC Office before 4:30 PM on Wednesday, August 1st to Receive Refund of Conference Registration Fees – NO Refunds will be Issued After August 1st COMPLETE REGISTRATION AND MAIL WITH PAYMENT TO:


Association of Arkansas Counties • 1415 West Third Street • Little Rock, AR 72201 or E‐Mail to abaker@arcounties.org


For registration questions please call: (501) 372‐7550


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