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2009 Spring Conference Delegate Registration , Page 2 of 2 <br /> <br /> ~ Extra Friday Lunch: <br /> i <br /> ~ Guest: <br /> ~ Guest Program: <br /> ' Golf Tournament: <br /> Golf Tournament Partner Choices: <br /> Community Service Project: <br /> am interested in carpooling: <br /> I am interested in driving with passengers: I O ' ~ ~ J` <br /> Mentor: ~ 1, ~ / <br /> <br /> i ~ <br /> (Conference Registration) <br /> Total ~ $285.00 <br /> Payment 1: MasterCard <br /> CC No 1: 8582 <br /> Exp Date 1:08/10 <br /> Name on Card 1: Kurt Corey <br /> (Golf, Guest Activities, and Extra Meal Tickets) <br /> . Total 2: $0.00 <br /> Cancellation and Refund Policy: <br /> Full refunds will be given if cancellation is made on or before April 17, 2009. <br /> After April 17, 2009, a $50 cancellation charge will be assessed. <br /> Please note: Failure to cancel or attend will result in full registration charge. <br /> Registration Questions? Contact: <br /> Dennis Koellermeier ' <br /> City of Tigard <br /> E-mail: dennis@tic~ard-or.gov <br /> Phone: (503) 718-2596 <br /> https://vp3.netgate.net/cgi-bin/cameo/registration.cgi 3/18/2009 <br /> <br />