22nd Annual Winter Conference 
February 2nd, 3rd & 4th, 2011 

Name:                       
Address:                       
City:        State:        Zip:        
Work Phone:          Email:           
Early Registration Deadline: January 21st, 2011‐ $200.00 
(Fee must accompany registration) 
Late registration fee after January 22nd 2011 ‐ $250.00 
     Cost is $150.00 per MCTA attendee February 4, 5 & 6th  
MCTA Conference        $200.00    ______ 
    ______ 
          Total   $______ 
Make checks payable to:  
Michigan Construction Teachers Association ‐(MCTA) 
Send this form and check to:             Frank Tilmann  
                                                                 13902 Jet Drive 
                                                                 Big Rapids, MI. 49307   
                                                                 (231)250‐3528 
Contact the hotel directly for room reservations (See Shanty Creek Reservation Page) 
Meal Options:                                                                         Member                    Guest 
Thursday‐ Breakfast Buffet                                                     ________                ________ 
Thursday Lunch‐ hot buffet                                                     ________                ________ 
Thursday Dinner‐     Prime Rib                                                ________                ________ 
                                   Salmon                                                   ________                 ________ 
                                   Vegetarian (pasta)                                ________                 ________  
Friday‐ Breakfast buffet             
Additional meal packages for spouse or guest are $95.00 
*Non‐refundable Registration Fee 
Shirt Size:  S       M       L     XL     2XL     3XL     4XL 
additional Shirts are $40.00 ea.