403.01 Conference Registration

Price:

$50

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone Number:* Phone Number is Required

Lake Association Name:* Lake Association Name is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength

Coupon Code:

Invalid Coupon

Mail Check to MLSA

Make checks payable to MLSA and mail to:
Michigan Lakes and Streams Association
PO Box 19615
Kalamazoo, MI 49019

Pay Online with Credit Card (You do NOT need a paypal account)

Pay via your PayPal account

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