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RD of the C~v7.1.~2 <br />OREGON CHAPTER APWA Delegate Registration <br />® SPRING 2010 CONFERENCE Delegate Registration Receipt <br />SEVEN FEATHERS CASINO RESORT 03/23/10 <br />~® April 27-30, 2010 • tanroaNlle oR <br />First Name: Eric <br />Last Name: Jones <br />Name on Badge: Bulldog Jones <br />Title: Public Affairs Manager <br />Employer: Eugene Public Works <br />Address: 101 E. Broadway, Suite 400 <br />City: Eugene <br />State: OR <br />Zip: 97401 <br />Phone: 541-682-5523 <br />Fax: 541-682-6828 <br />EMail: eric.r.jones@ci.eugene.or.us <br />Reg Type: APWA Full Registration <br />APWA Membership Number: 121377 <br />(Conference Registration) <br />Total 1: $325.00 <br />Payment 1: MasterCard <br />CC No 1: #### #### #### 4732 <br />Exp Date 1: 08/11 <br />Name on Card 1: Eric R Jones <br />(Golf, Guest Activities, and Extra Meal Tickets) <br />Total 2: $65.00 <br />Payment 2: Visa <br />CC No 2: #### #### #### 3062 <br />Exp Date 2: 09/12 <br />Name on Card 2: Eric R. Jones <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 />