GOVERNMENT FINANCE OFFICERS ASSOCIATION OF CONNECTICUT

REGISTRATION FORM

SPRING MEETING, ANTHONY’S OCEAN VIEW

THURSDAY, APRIL 29, 2010

SPACE IS LIMITED

ABSOLUTELY NO TELEPHONE OR WALK-IN RESERVATIONS ACCEPTED

Name: ________________________________________________________

Organization: ___________________________________________________

Telephone: _____________________________________________________

Lunch will be a hot buffet.

Please indicate the following:

I plan to attend the meeting and stay for lunch_________________

I plan to attend the meeting ONLY__________________________

The GFOA of CT welcomes participation by people with physical limitations. Please advise us if you need accommodation or assistance with the buffet or any other part of our program in the space below: ______________________________________________________________________________________________________________________________________

Payment must accompany registration form no later than April 22, 2010 Five participants are allowed at the member rate per member municipality or organization.  Please list all names on this form.

Registration Fee (please check one):

__________ $ 60 per member

__________ $ 80 per non-member

Total Enclosed $______________

Mail this form with your check payable to GFOACT to:

Sal Pandolfo, GFOA of CT

C/o Town of Groton

45 Fort Hill Road