2008 Aquatic Seminar - May 16, 2008 8:30 am - 3:00pm Sun Prairie Westside Community Service Building 2598 W. Main Street, Sun Prairie, WI 53590

Thank you for registering for the Aquatic Seminar. You may register your organization or group through this form or individuals.

First Name

Last Name

Title

Organization

Address 1

City

State

Postal Code

Business Phone

Email Address

Please lilst the names of the additional individuals that you are registering:

** You must check the circle corresponding to the registration that you are making.

How Many Members or Agency Members are you registering?

WPRA Member or Agency Member

Member or Agency Member ($25.00)

How Many Non-Members are you registering?

Non Members

Non Members ($35.00)

How people are you registering after May 2?

If you are registering after May 2, 2008 there is a $5.00 later fee per person.

Late fee ($5.00)

Payment Information

Please Invoice my Organization

Please Charge my credit card below

Type of Credit Card

Visa

Master Card

Discover

Credit Card Number

Expiration Date (01/09)

Thank you for registering on-line for the Aquatic Seminar. Please click the submit registration button below. Once your registration has been processed you will receive either an invoice or receipt via e-mail.

Once you submit your registration it will take you to a screen where you will be able to view a printer friendly receipt/invoice.

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