Conference Registration Form

   FEE: PRE-REGISTRATION:                                            LATE REGISTRATION:

    $15.00 on or before April 3rd                                            $20.00 after April 3rd or at the door.

***CANCELLATIONS: Cancellations made after April 3, 2005 will NOT be refunded.

    MEALS: Continental breakfast and snacks will be provided. Lunch on your own.

                           (WYRID members, we will have a dinner "snack" prior to the Business meeting)

 

Please send your pre-registration form (the bottom of this form) and check by April 3rd, 2005

          To: Kathy Andrews, 5 Hilltop Lane, Sheridan, WY 82801.

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Name: ______________________________________________________________________

Phone No: ____________________________________________

Address:_____________________________________________________________________

If needed I will interpret:        SATURDAY: Yes____ No____   SUNDAY: Yes____  No____

E-Mail: ____________________________________________________________________________

WYRID Member? _____Yes_____No

AMOUNT ENCLOSED: ___________________________ CHECK #______________________

Specific Accommodations (if any):

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