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WYRID Fall 2010 Conference Registration Form
Casper College WT 120; 125 College Drive. Casper, WY
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: __________________________________________ |
| WYRID Member | Non-Member |
| Conference | Conference |
| $70 | $100 |
**We’ll accept other state affiliate membership for the WYRID member rate! Just make note on your registration and bring your current card with you as proof.
Want to become a member of WYRID? Click here for a membership form or join during registration at the workshop!
No refunds after October 4, 2010!
Any questions please contact Denise Morse at 307-649-2288 or deniseterp@gmail.com or Jacee Brand at 307-630-0054 voice/text or wyridvp@yahoo.com
Please make checks payable to WYRID and Send registration to: