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Get 2011 Minnesota Municipal Clerks Institute - St. Cloud State University - Stcloudstate

Digits) Birth Date MM/DD/YYYY (for CEUs/transcript purposes only) Email The information on this form is private data, used to identify and locate you. Name, address, and payment method are mandatory. Please enroll me in the 2011 MMCI for (note: you must designate a year): Year One Year Two Year Three I plan on attending the banquet on Thursday, July 14, 2011 (included in registration fee) Guest Banquet Ticket(s) - $30 each Scholarship and payment information: MCFOA member: $410 by May 27.

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