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2010 Wine Country Regional On-line Registration

by Shelly Tillery

 Location of Regional:

Friday, October 29, 2010

The Doubletree Hotel

1 Doubletree Drive

Rohnert Park, CA  94928

(707) 584-5466 (Group code is:  613) $129.00 per night

Click here for on-line hotel accommodations

(Breakfast & lunch is included with your registration)

 

Attendees  Names: 

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

 

  

District/Company  
Address    City    Zip
Phone    Fax  

E-mail Address

(please use "one" e-mail address where follow-up materials will be sent)
2010 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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