Friday November 7, 2008 9:00 am - 4:00 pm State House, Augusta No conference fee ~ Lunch provided ~ Free child care ~ Travel & child care reimbursement for those who need it
Friday November 7, 2008 9:00 am - 4:00 pm State House, Augusta
No conference fee ~ Lunch provided ~ Free child care ~ Travel & child care reimbursement for those who need it
Required fields are marked with a red asterisk (*) Last Name:* First Name:* Organization (if attending as org. representative): Address:* Phone:* Email:* Lunch (check one): turkey ham egg salad vegetarian The Conference is FREE but donations (to cover food and reimbursements for travel and childcare) are welcome. I will make a contribution at the conference. Request for Reimbursement. You can request reimbursement on the day of the conference even if you can't fill out this section now.) I will need travel reimbursement. Miles round trip: Amount requested $: Bus ticket $: MAIN encourages car pooling whenever possible. It's fun, saves on gas and creates less pollution. I can give a ride to people. I need a ride. Choose ONE small group you want to be in: health care housing/heating safety-net programs education and training paid work issues tax reform I can help set-up at 8:00am I can help clean-up at 4:00pm Please let us know if you have any special requests (such as meatless lunch; number of children needing child care, and their ages; child care reimbursemet if you cannot bring your child, etc.) and we will do our best to accomodate you. (NOTE: Child care space will by in the conference room at Maine Equal Justice at 126 Sewall Street, right across the street from the State House. We hire qualified child care providers for this service. There is no cost to you for child care.)
Required fields are marked with a red asterisk (*)
Last Name:* First Name:* Organization (if attending as org. representative): Address:* Phone:* Email:* Lunch (check one): turkey ham egg salad vegetarian The Conference is FREE but donations (to cover food and reimbursements for travel and childcare) are welcome. I will make a contribution at the conference. Request for Reimbursement. You can request reimbursement on the day of the conference even if you can't fill out this section now.) I will need travel reimbursement. Miles round trip: Amount requested $: Bus ticket $: MAIN encourages car pooling whenever possible. It's fun, saves on gas and creates less pollution. I can give a ride to people. I need a ride. Choose ONE small group you want to be in: health care housing/heating safety-net programs education and training paid work issues tax reform I can help set-up at 8:00am I can help clean-up at 4:00pm Please let us know if you have any special requests (such as meatless lunch; number of children needing child care, and their ages; child care reimbursemet if you cannot bring your child, etc.) and we will do our best to accomodate you. (NOTE: Child care space will by in the conference room at Maine Equal Justice at 126 Sewall Street, right across the street from the State House. We hire qualified child care providers for this service. There is no cost to you for child care.)
Lunch (check one): turkey ham egg salad vegetarian
The Conference is FREE but donations (to cover food and reimbursements for travel and childcare) are welcome. I will make a contribution at the conference.
Request for Reimbursement. You can request reimbursement on the day of the conference even if you can't fill out this section now.) I will need travel reimbursement.
MAIN encourages car pooling whenever possible. It's fun, saves on gas and creates less pollution.
Choose ONE small group you want to be in: health care housing/heating safety-net programs education and training paid work issues tax reform
I can help set-up at 8:00am I can help clean-up at 4:00pm
Please let us know if you have any special requests (such as meatless lunch; number of children needing child care, and their ages; child care reimbursemet if you cannot bring your child, etc.) and we will do our best to accomodate you. (NOTE: Child care space will by in the conference room at Maine Equal Justice at 126 Sewall Street, right across the street from the State House. We hire qualified child care providers for this service. There is no cost to you for child care.)
