CENTRAL PLAINS IRRIGATION CONFERENCE
February 17-18, 2015, City Limits Convention Center, Colby, Kansas
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 $85 if postmarked by Jan 30, 2015. After that, it is $100.
For CCA CEU credit, add $10 to be $95 before Jan 30 2014 or $115 thereafter.
Registration includes admittance to all sessions, the equipment exposition, breaks and 2 lunches.
Registration fee: $__________($85 or $95 before Jan 7 and $100 or $110 after Jan 30) 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 Jan 30 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.
Not Done Yet A block of rooms has been reserved at the Comfort Inn which is connected to the Convention Center, 2225 S. Range, Colby, Kansas (Phone:785-462-3833. The cost is same for both, $?????/night including tax. Please make your reservations directly. Indicate you are with CPIA to get the special rate. The blocks will be released ?????.
CEUs for Crop Consultant Advisors have been applied for.