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2010 MWCC Registration Form

Name:
First Name for Badge
Firm/Organization:
Address:
City/State/Zip:
Phone:
Email Address:
What type of registation? Full conference
One day
If one day registration, please indicate which day:
If signing up a golf team, please provide names and emails for members of team:
Additional fees to be paid: Golf - one person - $100
Golf team - $360
Raffle ticket - $10
Sunday brunch - $10
Adventures Club - $10 per day per child
Extra meal tickets - $30 each
Membership only - $20