Print this page using your browsers print button.

Mail this form to :
Utah Weed Control Association
Plants, Soils, and Biometeorology Dept.
4820 Old Main Hill
Logan, UT 84322-4820

Utah Weed Control Association
Registration Form


Name ____________________________________________________

Organization ____________________________________________

Mailing Address _________________________________________

City ________________________ State _____ Zip ___________

E-Mail _____________________________ Phone ______________

_______ $ 65.00 Advanced Registration
_______ $ 95.00 Late Registration after February 9, 2010
_______ $ 10.00 Membership only (to remain on mailing list)
_______ $ 15.00 Each additional meal ticket, No._________
_______ $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.