International Northwest Parks & Recreation Association
For Info: (253) 564-3477 or email; kenheany@aol.com
3324 Olympic Blvd.
University Place, WA 98466
Registration Form
Early Deadline: Friday, August 13th, 2004
Members: US: $160 Non-Members: US $200 (Registration includes Annual Membership Fee)
One Day attendance available for Wednesday, Sept. 22nd only.
60 (Late $80) Includes one lunch
Late Registration: After August 16th, 2004
Members: US $180 Non-Members: US $220

Name: ________________________________

Title: _________________________________

Agency: _______________________________

Address: ______________________________

City: _______________ State/Province ______ Country _____ Zip: _________

Phone: ________________________________

Email: ________________________________

Mail Registration Form & Checks (only)
Payable to: INPRA (c/o Ken Heany)
3324 Olmpic Blvd. W.
University Place, WA 98466
Questions:
Peggy Pullen, Conference Chair
Email: peggypullen@seattle.gov
Phone: 206-386-1916

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