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Michigan Association for Pupil Transportation
Annual Conference 50th Anniversary
“Moving Forward and Looking Back,
50 Years with Yellow and Black”
June 23 - 25, 2015
Shanty Creek Resorts, Bellaire, MI
Keynote Speaker ~ Steve Gilliland
A member of the Speaker Hall of Fame, Steve Gilliland is one of the most in-demand and
top-rated speakers in the world. With an appeal that transcends barriers of age, culture
and occupation, Steve shows audiences how to open doors to success in their careers,
their relationships and their lives. His great compassion for people and a commitment to
a hard work and balanced life ethic was learned at the knee of his highly principled
Christian mother and stepfather. Whether Steve is speaking at an event, writing about
current issues that impact people or leading his own employees, he is not just a person
who challenges people to change, he motivates them to do so.
Tuesday, June 23, 2015
Tentative Schedule
Morning
1st time Attendees Welcome
General Business Session
Keynote Speaker: Steve Gilliland “Enjoy the Ride”
Lunch included with conference
Afternoon
Keynote Speaker: Steve Gilliland “Hide your Goat”
Breakout Sessions
Tuesday Evening on your own
Wednesday, June 24, 2015
Morning
General Session
Breakout Sessions
Lunch included with conference
Afternoon
Breakout Sessions
Trade Show
Silent Auction to benefit the MAPT Scholarship fund
Wednesday Evening
MAPT 50th Anniversary Dinner Celebration
Thursday, June 25, 2015
Morning
General Session
Closing Session
Michigan Association for Pupil Transportation
Annual Conference 50th Anniversary
“Moving Forward and Looking Back,
50 Years with Yellow and Black”
June 23 – 25, 2015
Shanty Creek Resorts, Bellaire, MI
Early Bird
Registration Form
Pre-Conference Registration – June 22, 2015
Prior to
June 1
June 1
or later
DOT Reasonable Suspicion Training for Supervisors (3 hours)
Instructor: Lorri Smith, Integrity Testing & Safety Administrators
(required for Transportation Supervisors)
MAPT Member
$ 85.00
$100.00
$_________
Non-Member
$225.00
$240.00
Mail completed form with check to:
MAPT
6250 W. Michigan Ave., Suite A
Lansing, MI 48917
OR
MDE Mandated Supervisor Training (3 hours)
No Charge
 Check here and register at:
http://local.charemisd.org/trans_reg_form/trans_regform.php
Or FAX
Conference Registration – June 23-25, 2015
Important Notes ~ Please read carefully.
MAPT Member
Non-Member
$340.00
$480.00
$390.00
$530.00
Total Amount Due
with PO # or credit card # to (517) 886-0882
$_________
•
$_________
•
Badge/Registration Information (Please Print)
_________________________________________
 First Time Attendee
•
Badge Name (if different than first name)
_________________________________________________________________
First Name
Last Name
_________________________________________________________________
•
District/Company
_________________________________________________________________
Address
_________________________________________________________________
•
City/State/Zip
_________________________________________________________________
Telephone
•
Fax
_________________________________________________________________
E-mail
•
•
Payment Information:
Only one form per attendee.
Photocopying this form is allowed.
Check, purchase order number or
credit card number must be sent
with registration form. Without
payment, registration forms are not
processed.
Do not include your hotel deposit
with your registration fee (or on
your purchase order). It will not
be forwarded to the hotel. It will be
sent back to you.
All cancellations must be received
in writing by June 12, 2015 (no
telephone calls will be accepted).
Refunds will exclude a $25
processing fee.
Cancellations received after June
12th will not be refunded.
No-shows or lack of cancellation
will be billed full registration price.
Filling out this form means you
agree with all the terms listed above.
Questions call 517-886-0881
Purchase Order # _____________
Check Enclosed made payable to MAPT
In case of an Emergency during the conference, please call:
To pay by credit card please complete the following information and fax to MAPT (517) 886-0882
Name: ____________________________________________
Please charge my VISA MasterCard American Express Discover
Phone/cell: ________________________________________
Card #
Expiration Date
Name on Card
Address CC statement is mailed to
City/State/Zip
Security Code
Special Accommodations:
Please indicate any special needs (dietary or otherwise):
________________________________________________
________________________________________________
MI Association for Pupil Transportation (191107)
June 22 – June 26, 2015
Reservations Must Be Received By: May 25, 2015
Reservation requests received after this date will still be accepted provided rooms are available.
PLEASE RETURN THIS FORM BY MAIL OR FAX TO:
Reservations Department • Shanty Creek Resorts
5780 Shanty Creek Road • Bellaire, MI 49615
Fax: 231.533.7004
Check-in begins at 5pm, Check-out is 12 Noon.
Name:__________________________________________________________________________________________
Address:________________________________________________
Home Phone: _________________________
City:_________________________ State:____
Zip:____________
Business Phone:________________________
Confirmation Email: ________________________________________
Fax: _________________________________
You are welcome to arrive early or extend your stay following this scheduled event. At times specified
accommodations are not available prior to or following your event. If the room type requested is not
available, we reserve the right to assign the next available room type and rate.
Arrival Date: ________________
Quantity
Departure Date:________________
Room Type
Guest Room (2 Beds)
Parlor Studio (King Bed)
1 Adult
$99
$129
# Adults:_______ # Children:________
2 Adults
$99
$129
3 Adults
$114
4 Adults
$129
Additional guest fee is $15.00 per person, per night. Children under 18 may stay free in their parents’ room using existing bedding.
The above rates are per room, per day, plus 6% state tax, 9% resort fee and 5% TCCVB fee.
IF YOUR ORGANIZATION IS STATE TAX EXEMPT YOU MUST FURNISH A COPY OF
FORM 3372 MI SALES AND USE TAX CERTIFICAT OF EXEMPTION WHEN MAKING YOUR RESERVATIONS.
THIS FORM MUST BE MAILED OR FAXED IN TO RECEIVE THE GROUP DISCOUNTED RATES.
Deposit Policy: You must guarantee your room reservation with a major credit card or a check for deposit of 1st nights lodging. Credit card WILL BE
charged for the above deposit. Use of Debit cards at the resort for lodging or deposits may cause your financial institution to put a hold on your
account for the total amount of the stay plus a $50.00 per night incidental charge. The resort is not responsible for returned check fees
resulting from this practice by your financial institution. Refund of your deposit will be made if cancellation occurs at least 5 days prior to arrival,
less a $10 handling fee.
Card Number: _______________________________________________
Expiration Date:_____________________
If Mailing a Check, Please Note on the Line Above. Your reservation will be held for 10 days pending receipt of the check.
If credit card deposit is made and organization pays in full by check refunds of credit card are subject to a $10.00 handling fee.
Signature (Required): ____________________________________Printed Name _______________________________
Do you have any special lodging requests?
Barrier Free: ___ Other (Please Indicate): __________________________
We do our best to honor special requests, however we cannot guarantee them.
FOR QUESTIONS OR FOR MORE INFORMATION, PLEASE CALL 800.678.4111