Western Regional Conference 2008


REGISTRATION FORM (For meal reservations and reduced fee, return by 2/20/08)

Name____________________________________________ Conference Fee $_________

Address_________________________________________________________________

City______________________________________ State ________ Zip_____________

Food___________________________________________________________________

Comments_______________________________________________________________

Phone___________________________________ Fax___________________________

Email___________________________________________________________________

(Please make your own housing and transport arrangements.)

I am interested in making a 5-minute presentation_______________________________


PLEASE MAKE CHECKS PAYABLE TO WESTERN REGIONAL COUNCIL.

RETURN TO:
Beth Wieting
4130 SE Lambert St., Portland, Oregon 97202 Phone: 503-774-8764 Fax: 503-774-4822