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WTBA Federal Tax ID# is 98-0681233 Checks should be made payable to Western Trailbuilders Association Please print this form from your browser and mail it, Save by sending in your registration so that we receive it by January 24. If you are on per diem: You can register for both conference fees and meals but pay for them with separate checks. Please enclose both checks with this form. If you need separate receipts for conference fees and meals, please print two copies of this form and fill them in separatelyone with conference fees but no meals, and the other with meals but no conference fees. Then enclose separate checks and mail both forms and both checks together. Banquet and catered lunches: Please note that if you dont reserve and pay for the banquet and catered lunches in advance, you probably wont be able to buy them at the doorwe have to provide the hotel with 48 hour notice for the number of meals, but onsite registration provides less than 24 hour notice. Hence, well have only a very limited number of meal signups at onsite registration and these will be first-come, first-served (sorry!) For questions, please contact Don Hays, WTBA Treasurer, at
or 530-583-9128. PLEASE PRINT LEGIBLY! |
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| Name(s): | |
| Title(s): |
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| Organization: |
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| Mailing Address (Street, City, State, ZIP): |
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| Phone: | Fax: |
| Email(s): | |
| Your name and agency/organization/business affiliation as it should appear on your nametag: |
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| (WTBA members only) Renew annual membership dues per contractor ($100) | $_________ | |
| Attending the 2002 Trailbuilders Conference Please note that the conference is charged separately from the UTAP Workshop and HazMat session and that you can attend all of these a la carte. Check all that apply: ___ WTBA Member registering by or on January 25 ___ Non-member registering by or on January 25 ___ WTBA Member registering after January 25 ___ Non-member registering after January 25 |
______ @ $55 each ______ @ $90 each ______ @ $65 each ______ @ $105 each |
$_________ |
| Attending Wednesday catered lunch (Lemon Pepper Grilled Chicken with wild rice and green beans, fresh seasonal fruit cup, fresh-baked rolls and butter, fruit pie for dessert, and your choice of coffee, tea, or milk)* | ______ @ $9 each | $_________ |
| Attending Thursday catered lunch (London Broil Bordelaise with potato au gratin and Italian zucchini, a Caesar salad, fresh-baked rolls and butter, carrot cake for dessert, and your choice of coffee, tea, or milk)* | ______ @ $9 each | $_________ |
| Attending Wednesday evening awards banquet and partyCombination of Prime Rib & Salmon entrees preceded by a no-host bar and followed by light entertainment and an informal get-together (February 13, 2002): | ______ @ $25 each |
$_________ |
| * If you have special dietary requirements for the above lunches or dinners, please telephone James Angell at 541-383-3409 before Feb. 6. | ||
| Attending HazMat training session/recertification |
______ @ $50 each | $_________ |
| Attending the Universal Trail Assessment Process (UTAP) Workshop by Beneficial Designs (Friday & Saturday, February 15 & 16, 2002) ___ WTBA Member ___ Non-member |
______ @ $225 each ______ @ $285 each |
$_________ |
| TOTAL | $_________ | |
| To facilitate networking with people with similar interests, well have an Interest Board with attendees grouped by their self-described interests. Think of this as answering the question, What do I want to learn more about at this conference? If you would like to be on the Interest Board, please list up to three areas of interest (with the most important listed first): |
Optional: If you would like for WTBAs website to link to your website, please provide:
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Thanks for attending the 2002 Trailbuilders Conference, and well see you there. |
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