| CENTRAL PLAINS IRRIGATION CONFERENCE
February 26-27, 2013 Holiday Inn Convention Center, Kearney, Nebraska
COMPANY (Type or print clearly)
COMPLETE MAILING ADDRESS ________________________________________________________________________
Phone, Fax and Email _________________________________________________________________________________________________
(in case of questions about your registration)
NAMES OF THOSE ATTENDING FOR NAME BADGES (Type or print clearly)
Registration is $75 if postmarked by Feb. 14, 2013. After that, it is $85.
For CCA CEU credit, add $15 to be $90 before Feb 1, 2012 or $100 thereafter.
Registration includes admittance to all sessions, the equipment exposition, breaks and 2 lunches.
Registration fee: $__________($75 or $90 before Feb 14 and $85 or $100 after Feb 14) X __________ (Number attending)
Total amount enclosed is: $_______________________
Make checks payable to CPIA. Sorry, no credit cards.
Please return this form with your earlybird payment by Feb 14 to:
Donna Lamm, executive assistant 760 N. Thompson. Colby, KS 67701
The Association's EIN/TIN is 47-0761818 for those needing that number for fee payment.
Phone/fax 785-462-7574 or email@example.com. Sorry, no faxed registration without mailed payment and CPIA cannot accept credit cards.
A block of rooms has been reserved at the Holiday Inn, Kearney, Nebraska. The cost is $87.95/night plus tax. Please make your reservations directly with the motel at 308-237-5971. Indicate you are with CPIA to get the special rate. The block will be released Feb. 4, 2013.
CEUs for Crop Consultant Advisors have been applied for.
Click here for detailed program
Click here for exhibitor registration