Name for Badge
Your System or Company
Your Title or Position

Daytime Phone Number
Billing Address
City, State Zip

Please Bill my Employer
I will Pay with Credit Card (after filling out this form the next page will have a spot to pay online)

Email Address
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Pre-Conference Monday March 24th, No Fee REQUIRED
Track 1 – Confessions of a Water & Wastewater Operator by Mike Harrington, USABlueBook.
Track 2 – Funding Workshop by SLIB/DEQ/RD
I plan to attend: (write in Track 1, Track 2, or Neither)


FULL REGISTRATION (Does not include Monday Pre-Conference) March 25– 27

(Includes all technical sessions, Exhibit Hall, breakfast and lunches)

Member – Early Bird, payment included (By 02/29/08) $175
Member – (After 02/28/08) $250
Non-Member – With new Individual Membership through 12/31/08 $275
Non-Member $275
Decision Maker / Clerk $100


Complimentary Banquet Wednesday
Yes I Plan to Attend No I do not Plan to Attend
Banquet provided at no cost to attendees. Seating limited to first 325 reservations


Special Registrations (please put in the quantity for each below, 1, 2, 3 etc.)
Tuesday only: (continental breakfast, classes, lunch, Exhibit Hall, Game Night) $110 each
Wednesday only: (continental breakfast, classes, lunch, Exhibit Hall) $110 each
Thursday only: (buffet breakfast, classes) $75 each

Additional Meal Tickets (please put in the quantity for each below, 1, 2, 3 etc.)
Lunch Ticket (Tuesday/Wednesday) $15 each
Banquet Ticket (Wednesday night) $30 each
Breakfast Ticket (Thursday morning) $12 each

NO REFUNDS after 2/28/08. Amounts credited to future events.

PAYING ONLINE WITH A CREDIT CARD
Please note: after submitting this form you will be directed to a thank you page.
On that page there will be a Iframe containing our online store. Select the products
you signed up for above to be added to the " shopping cart" once you have
all your products then hit "checkout".
If you have any questions don't hesitate to call us @ 307.436.8636.

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