International Northwest Parks&Recreation Association

International Northwest Parks & Recreation Association
Administrator's Academy
The 2005 Administrator’s Academy will be held March 1-4, at
The Haven, Gabriola Island, British Columbia.

•Administrator’s Academy Form

Name ___________________________________________________________

Agency __________________________________________________________

Title ____________________________________________________________

Agency Address ___________________________________________________

City_____________________________________________________________

State/Province_____________________________________________________

Zip/Postal Code____________________________________________________

Phone ___________________________________________________________

Fax _____________________________________________________________

E-mail ___________________________________________________________

Visa/Master Charge ________________________________________________

Double Occupancy– $710.00 (US) . male . vegetarian
Single Occupancy–$ 40.00 (add on) . female . smoker

Please make check or money order in U.S. dollars to INPRA and send to:
Ken Heany, Executive Director
International Northwest Parks & Recreation Association
3324 Olympic Boulevard
University Place, WA 98466
kenheany@aol.com

_ FAX a Purchase Order in addition to this form: 253-564-3477/FAX
_ Your P.O. Number_____________________________________________

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