2003 MFLA Conference Registration Form


November 7 - 8, 2003
Biloxi Beach Resort
Gulfport, Mississippi



To attend the 2003 MFLA Annual Conference, you must send the MFLA Membership Application, the MFLA Conference Registration Form, and pay membership dues and conference registration.


Name_________________________________________________________________________


MFLA Annual Conference Registration (Check one)


_____Regular Pre-Registration $15


_____On-Site Registration $20


_____First-year Teacher Conference Registration $ 5


_____Graduate Student Conference Registration $ 5


_____Non-member (Attends meetings but does not join MFLA) $45


(Graduate students must include a letter certifying student status from the Director of Graduate Studies or their Department Head. First-year teachers must submit a letter from their principal certifying new teacher status.)


Mail the completed Membership Application Form, the Conference Registration Form, and a check for membership dues and conference registration made payable to MFLA to:


Lauren Bearden, Executive Director
Mississippi Foreign Language Association
2206 Bluecutt Road
Columbus, MS 39705-1304


For office use: Check # __________ Personal _____ School_____