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.2010 Spring Conference Delegate Registration <br />One Day Registration Wednesday Lunch: <br />One Day Registration Thursday Lunch: <br />One Day Registration Thurs Banquet Meal: <br />One Day Registration Friday Awards Lunch: <br />Extra Wednesday Lunch: <br />Extra Thursday Breakfast: <br />Extra Thursday Lunch: <br />Extra Banquet Meal: <br />Extra Friday Breakfast: <br />Extra Friday Lunch: <br />Golf Tournament: <br />Average 18 Hole Score: <br />Paid Golfers: <br />Golf Tournament Partner Choices: <br />Wednesday Technical Tour: <br />Moderator: <br />Board Member: <br />Speaker: <br />Mentor: <br />ors-g~~o- ~~~~~ <br />(Conference Registration) /~; <br />Total 1: $205.00 Cf <br />Payment 1: MasterCard <br />CC No 1: #### ~### #~#{# 8582 <br />Exp Date 1:08110 <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 10, 2010. <br />After April 10, 2010, 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 />Sandy Cook <br />E-mail: scook@cityofroseburg.org <br />Phone: 541-440-1182 <br />Page 2 of 2 <br />Pork Loin with Mushrooms and Onions <br />Prime Rib <br />Yhu4°~ Y`nfrf 5~ay <br />.netgate.net/cgi-bin/cameo/registration.cgi 4/7/2010 <br />