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 firstname.lastname@example.org. Sorry, no faxed registration without mailed payment and CPIA cannot accept credit cards.
A block of rooms has been reserved at the Comfort Inn, Colby, Kansas. The cost is $89.99/night plus tax. Please make your reservations directly with the motel at 785-462-3833. The block will be released Feb. 7, 2015. A block is also reserved at the Holiday Inn Express for $94/night plus tax. You may contact them directly at 785-462-8787. Rooms are double queens with a few kings. Indicate you are with CPIA to get the special rate.
CEUs for Crop Consultant Advisors have been applied for.