37th MIDWEST AREA REGIONAL COUNCIL CONFERENCE
TULSA, OK
OCTOBER 7-8, 2022
Hosted by ESA Oklahoma State Council
Name __________________________________ State ______________________ CURRENT OFFICER/
OFFICES HELD
Address ___________________________________________________________
(Check all that apply)
City, State, Zip ______________________________________________________
MARC Board ____
Email Address ____________________________ Phone_____________________
MARCettes ____
Travel Plans: Driving: ______ Flying: Airline_________ Flight #_____ Date _____ ESA Foundation
Names of Roommates: ________________________________________________ Board ____
REGISTRATION OPTIONS State President ____
Postmarked no later than 9/10/2022
$150.00 _______ Headquarters ____
Registration for Conference and Leadership $125.00 _______
Registration excluding Friday Leadership IC Exec. Board ____
Postmarked after 9/10/2022 IC Appt. Board ____
Registration for Conference and Leadership
$175.00 _______ 1st Timer ____
Registration excluding Friday Leadership $150.00 _______
Walk-in Registration after 10/1/2022 Guest ____
(cash/money order only)
$200.00 _______
Partial Registrations $ 50.00 _______
Saturday Luncheon only $ 65.00 _______
Saturday Banquet only
Total Enclosed (Make check payable to ESA MARC 2022 Conference) $______
Special Medical Dietary Needs ________________________________________________________________
Mail Check and Form to: Marriott Tulsa Southern Hills Hotel Information
Judy Cravens 1902 E. 71st St., Tulsa, OK 74136 Group Code: ESA MARC
Registration Chair & Treasurer 1.800.228.9290 or 1.918.493.7000 Room Block honored until Sep. 24, 2022 Rate:
36322 S. 4202 Road http://tulsamarriott.com $121 per night, plus tax Complimentary self-park,
Inola, OK 74036 Wi-Fi & free breakfast.
Phone 1.918.284.7335 4% charge for credit cards Name on CC______________________________
[email protected] Security Code_________________ Credit Card #_____________________________
Exp Date ____________________ ________________________________________
Wear your favorite ESA attire and join the
Illinois State Council Executive Board as hosts of the
ESA Groovin’ into Fall Gathering Lunch
Normal Community Activity Center
1110 Douglas Street Normal, IL 61761
(Enter Community Room door on North side building,
limited parking on Oglesby Drive)
Sunday, September 18, 2022
10:30AM – 1:30PM
Checks payable to ESA Illinois State Council
In person $20 postmark by September 7 mail to
Jamie Atchison, ISC Treasurer
1711-G King Drive Normal, IL 61761
After 9/7 fee increase to $25 and cash only with day
of registration. Join by Zoom fee $10
Name________________________________________
Chapter_______________________________________
Phone________________________________________
Email_________________________________________
Medical Dietary Restrictions______________________
In Person____ Zoom____ Amount Paid $___________