Spring Conference | REGISTRATION

REGISTRATION FORM
Your Name (for name tag):

County:

Title: County Judge/Executive County Commissioner County Magistrate County Attorney County Clerk County Sheriff County PVA Other If "other", please specify:

Mailing Address:

City:  

State:     Zip:  

Phone #:

Email:

Guest's Name If attending. There is no additional fee.:

Attending dinner banquet on Thursday, March 7?:  Yes   No

 Yes, I want to attend the 2.5 hour Preconference (topic to be announced)  **The cost of the preconference is an additional $45.**

CONFERENCE REGISTRATION FEE: $295.
  Bill the County:  

  Or you may make check payable and remit to:
  KMCA Spring Conference 
  350 Englewood Drive
  Frankfort, Kentucky 40601