February 21-22, 2012 City Limits Convention Ctenter, Colby, Kansas
REGISTRATION FORM
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CENTRAL PLAINS IRRIGATION CONFERENCE February 21-22, 2012 City Limits Convention Ctenter, Colby, Kansas REGISTRATION FORM |
COMPANY (Type or print clearly)
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COMPLETE MAILING ADDRESS ________________________________________________________________________
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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. 1, 2012. 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, a copy of the Proceedings, breaks and 2 lunches.
Registration fee: $__________($75 or $90 before Feb 1 and $85 or $100 after Feb 1) X __________ (Number attending)
Total amount enclosed is: $_______________________
Make checks payable to CPIA.
Please return this form with your earlybird payment by Feb 1 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 donnalamm@yahoo.com. Sorry, no faxed registration without mailed payment.
A block of rooms has been reserved at the Comfort Inn, Colby, Kansas. The cost is $79.00/night plus tax. Please make your reservations directly with the motel at 785-462-3833. Indicate you are with CPIA to get the special rate. The block will be released Feb. 13, 2012. A block is also reserved at the Holiday Inn Express at the same rate. You may contact them directly at 785-462-8787.
CEUs for Crop Consultant Advisors have been applied for.