WYRID Fall Conference Registration

$25/Members            $40/Non-members

(Lunch included on Saturday)

Name:__________________________________________________________________________

Address:________________________________________________________________________

City:________________________________________ State:______________________________

Zip Code:_________________________ Phone:________________________________________

I will volunteer to interpret: ____ Yes    ____ No

I need an interpreter: ____ Yes   ____ No   Please respond by August 25th or no interpreter .                                                                 will be provided!!

 

Please send registration to: Connie White   

                                          524 South 7th            Please make checks payable to WYRID

                                          Douglas, WY 82633

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++