"Councils on Aging: Your Community Connection"

Please take a few minutes to complete our online registration form. Instructions regarding the proper completion of this form may be found in our 2009 Conference Registration Kit (pdf).

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all starred fields are required.

Are you registering as a member of MCOA/Conference Partner*? Yes No
COA *:
or enter your Agency:
Title:
Last Name*:
First Name*:
Address*:
City*:
State*:
Zip*:
Telephone*:
Fax:
Email*:

Please select the programs you wish to register for below.

	Complete Conference 3-Day Package (Members: $360, Non-members: $540 - Best Deal) Includes Wednesday reception, Thursday annual meeting dinner. Please select a dinner option below.
	Three Day Workshop Only Package (Members: $300, Non-members: $450) includes all Breakfasts, Buffet Luncheons and Breaks but does not include Wednesday's Reception and Thursday's Annual Dinner
	Wednesday Only (Members: $115, Non-members: $175) includes four sessions, a breakfast, a buffet luncheon and breaks
	Thursday Only (Members: $115, Non-members: $175) includes four sessions, a breakfast, buffet luncheon and breaks.
	Friday Only (Members: $100, Non-members: $150) includes four sessions, a breakfast, and a buffet luncheon
	Wednesday's Welcome Reception (Members: $20, Non-members: $30)
	Thursday's Annual Dinner Meeting (Members: $50, Non-members: $75) Please select a dinner option below.
Annual Dinner Option:

* All New England Councils on Aging and Senior Centers, MCOA Conference Event Partners include MIN, LOHSC, AARP, Alzheimer's Association, MGA, MASS ALFA, MAOA, MSAC, Mass Home Care, Mass Extended Care Federation, MA Department of Public Health: Elder Health Division, MPHA, MA Commission on the Deaf and Hard of Hearing, NASW, UMASS Gerontology Institute, Rhode Island Senior Center Director's Association (RISCDA) and/or Connecticut Association of Senior Center Programs (CASCP).

Massachusetts Association of Councils on Aging And Senior Center Directors

"Councils on Aging: Your Community Connection"

Please select the programs you wish to register for below.

Massachusetts Association of Councils on Aging
And Senior Center Directors