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Utah Weed Control Association |
Conference February 28-29, 2012 Name ____________________________________________________ Organization ____________________________________________ Mailing Address _________________________________________ City ________________________ State _____ Zip ___________ E-Mail _____________________________ Phone ______________ _______ $ 65.00 Advanced Registration (December 1, 2011 thru February 20, 2012) _______ $ 95.00 Late Registration after February 20, 2012 _______ $ 25.00 Additional meal tickets for non-conference guests _______ $ 10.00 Membership only (to remain on mailing list) _______ $250.00 Vendor Booth (includes one booth space, one registration and one meal for both UWCA & UWSA Conferences) _______ $100.00 Vendors Additional Booth Space _______ $150.00 Break Sponsor (Separate from Vendor Registration, for those interested in sponsoring refreshments for conference breaks.)
$_______ TOTAL SUBMITTED Please make checks (no P.O.'s accepted) payable to UWCA and return to address above. |