CENTRAL PLAINS IRRIGATION SHORT COURSE
REGISTRATION FORM
COMPANY (Type or print clearly)
___________________________________________________________________
COMPLETE MAILING ADDRESS _____________________________________
___________________________________________________________________
Phone, Fax and Email _________________________________________________________
(in case of questions about your registration)
NAMES OF THOSE ATTENDING FOR NAME BADGES (Type or print clearly)
________________________________ _____________________________________
________________________________ _____________________________________
Registration is $65 if postmarked by Jan. 30, 2008. After that, it is $75.
For CCA CEU credit, add $10 to be $75 before Jan. 30, 2008 or $85 thereafter.
Registration includes admittance to all sessions, the equipment exposition, a copy of the Proceedings, breaks and 2 lunches.
Registration fee: $______($65 or $75 before Jan 30 and $75 or $85 after Jan 30) X _____ (Number attending)
Total amount enclosed is: $_______________
Make checks payable to CPIA.
Please return this form with your earlybird payment by Jan. 30 to:
Donna Lamm, executive assistant 760 N. Thompson. Colby, KS 67701
Phone/fax 785-462-7574 or donnalamm@yahoo.com. Sorry, no faxed registration without mailed payment.
A block of rooms has been reserved at the Regency Hotel, Greeley, CO. The cost is is $69.99/night for single occupancy; $71.99 for double occupancy. Both smoking and non-smoking rooms are available. Please make your reservations directly with the motel at 970-353-8444. Indicate you are with CPIA to get the special rate. The block will be released Jan. 18, 2008.
CEUs for Crop Consultant Advisors have been applied for.