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2011 Central California/Central Coast Regional On-line Registration

by Shelly Tillery

Location of Regional:

Friday, July 8, 2011

The Cliff Resort

2757 Shell Beach Road

Shell Beach, CA  93449

HOTEL IS SOLD OUT The Cliffs Resort (please call the hotel directly at (800) 826-7827 to receive your reduced rates of $129.00) - CUTOFF DATE IS JUNE 15, 2011

 

(lunch included with registration)

Attendees  Names: 

(for additional attendees, please use the "comment" section at the bottom of this registration form) 

Name

Title  

District/Company  
Address    City    Zip
Phone    Fax  

E-mail Address

(please use "one" e-mail address where follow-up materials will be sent)
2011 REGIONAL REGISTRATION RATES:
 

 

Member

 

Non-Member
1st Registrant $150.00 $200.00
Subsequent Registrants $95.00 $200.00

 

P.O.# Credit Card   Visa MasterCard AMEX
Billable Amount:$
Credit Card # Exp.
Billing Address:
Name as it appears on card:
Date:  

Comments or additional attendees:

 

 

 
 

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