TEDC Fall Conference

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Name

Guest Name

Organzation

Address

City

State

ZIP

E-mail Address

Fax

Telephone

Activities/Fees:
input the number of people for each activity

	Registration, member $140.00
	Registration, non-member $190.00
	Guest Registration $50.00 (includes meals and reception)
	Golf (includes lunch) $75.00 Handicap:
	Lunch $0.00 (Thursday afternoon 11:30 - 1:00 pm)

I/We plan to attend:
indicate number of participants for each event

	Wednesday Evening 5:30pm Early Bird Reception
	Thursday afternoon, Lunch
	Thursday evening, Reception
	Thursday evening, Dinner

Registration fees will be refunded for cancellations 72 hours in advance of the conference. Substitutions may be made at any time