WWCPA SEWER MAINTENANCE VENDOR REGISTRATION FORM
For Each Person Attending Conference
Check Order Form
Company Name
Email Address
Billing Address
City
State
ZIP
Phone
FAX
Additional Attendees
School Registration Fees
Option 1:
$400.00 — 2-day pre-registration
Option 2:
$300.00 — 1-day pre-registration
Option 3:
$450.00 — 2-day late registration (May 1
st
–14
th
)
Option 4:
$350.00 — 1-day late registration (May 1
st
–14
th
)
If registering for one day:
Wednesday
Thursday
Purchase Order No.
*Setup begins Tues., May 19
th
, 6:00 pm – 11:00 pm
Contact
Joel Weisser
for additional information.