Conference Registration Form

WYRID SPRING 2004 CONFERENCE REGISTRATION FORM

 

PRE-REGISTRATION:

$49.00 WYRID member’s before April 5^th

$59.00 non-members before April 5^th

 

LATE REGISTRATION: (at the door)

$65.00 WYRID members after April 5^th

$75.00 non-members after April 5^th  

CD-ROM Workshop: an additional $10.00

 

Name: ____________________________________________________

 

Phone No: ____________________________________________

 

Address: __________________________________________________

 

I WILL INTERPRET:

 

SATURDAY: Yes ___ No ___

 

SUNDAY:       Yes___ No ___

 

E-mail: _________________________________________________________________

 

WYRID Member? _____ Yes _____ No

 

Specific Accommodations (if any):

 

 

AMOUNT ENCLOSED: ____________  CHECK # __________

 

Please send your WYRID membership form with the pre-registration form at the bottom of this page by April 5, 2004 .

To: Kathy Andrews, 5 Hilltop Lane , Sheridan WY 82801, kandrews@fiberpipe.net

 

   WYRID REGISTRATION FORM