*Name |
|
Nickname |
|
*Authority or Firm |
|
Your Title |
|
*Address |
|
*City |
|
*State
|
*Zip
|
Attending Spouse Name |
|
*Phone |
|
Fax |
|
*Email |
|
|
(Registration after August 2, 2010 will
be $285 p.p.)
|
Monday September 20 |
Open Ceremonies Breakfast -
@ $0.00
(complimentary, however registration
is required for accurate count) |
Professional Luncheon, $28 per person -
@ $28.00 |
Gateway Clipper Dinner Cruise, $52 per person -
@ $52.00 |
Monday Spouse Program |
National Aviary / Continental Breakfast & Luncheon
at Grand Concourse Restaurant at Station Square, $47 per person -
@ $47.00 |
Tuesday, September 21 |
Exhibit Area Breakfast -
@$0.00 |
Exhibit Area Lunch -
@$0.00 |
(complimentary, however registration is required for accurate
count. Please included spouse if attending.) |
Registered Banquet Ticket, $55 per person
@ $55.00 |
Non-registered Banquet Ticket, $59 per person
@ $59.00 |
Tuesday Spouse Program |
Longaberger Basket Bingo Party, $25 per person
@ $25.00 |
Wednesday, September 22 |
Wednesday Breakfast, $23 per person -
@ $23.00 |
|
I am interested in obtaining continuing education credit for my DEP Water
/ Waste Water Operator Certification |
I am interested in obtaining continuing legal education credits |
|
| *Required Information |