WYRID 2010 Spring Workshop Registration Form

Name:__________________________________________________________________

Phone No:  ________________________

E-mail: ____________________________________________

Address: ___________________________________________________________

WYRID Member?  _____Yes _____ No

AMOUNT ENCLOSED:  ___________________ CHECK # ________________

If needed, I will interpret:   SATURDAY:  Yes ___          

Specific ADA Accommodations needed:_______________________________________________

Other comments or concerns: __________________________________________

Cancellation Policy: No refunds after April 16th, 2010

Please send this form with your check to WYRID and mail to:

Paula Copeland,

County Road 148

Burns, WY 82053

Any Question contact Denise Morse via Email: dmorsewy@yahoo.com

For WYRID Spring Workshop flyer (PDF) on our website.