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brochure - ACWA

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Name:<br />

Title:<br />

Organization:<br />

Address:<br />

City: State: Zip:<br />

Phone:( ) Fax:( )<br />

E-mail:<br />

Your workshop registration fee includes: Continental breakfasts, refreshment breaks, lunch<br />

on the day(s) that you are registered, and a reception on Thursday evening. A CD with<br />

the presentations is also included.<br />

Substitution/Refunds: Substitutions from the same organizations are accepted. A $25<br />

handling fee will be applied. Substitution requests should be submitted to elliem@acwa.<br />

com by 4:30 p.m. (PST), September 6, 2011. If you need to cancel, refund requests may<br />

be made by phone, but must be confirmed in writing to the <strong>ACWA</strong> office. A $50 handling<br />

fee will be charged on all registration refunds. No refunds will be granted after 4:30 p.m.<br />

(PST), September 6, 2011.<br />

If you have a disability that may require accommodation to assure your full participation,<br />

please contact Ellie Meek of the <strong>ACWA</strong> staff at (916) 441-4545, or toll free at (888) 666-2292<br />

to discuss your needs.<br />

Prereg On Site Amount<br />

full 2-day registration (10)<br />

Advantage $450 $480<br />

Standard $675 $720 $<br />

1-Day registration<br />

q Thursday, Sept. 22 (11)<br />

Advantage $270 $290<br />

Standard $405 $435 $<br />

q Friday, Sept. 23 (12)<br />

Advantage $190 $200<br />

Standard $285 $300 $<br />

PAYMENT INFORMATION<br />

q Enclosed is my check payable to <strong>ACWA</strong><br />

q Please charge my fee to my credit card<br />

q MasterCard<br />

q Visa<br />

Expiration Date: Charged Amount: $<br />

Credit Card<br />

Number:<br />

REGISTRATION FORM<br />

Continuing Legal Education for Water Law Professionals<br />

Hotel Solamar • Sept. 22 - 23, 2011<br />

Total (this registration only) $<br />

Cardholder’s Name (as seen on card) - please print clearly:<br />

Authorized Signature:<br />

Your registration form must be received by 4:30 p.m. (PST),<br />

September 6. After Sept. 6, you will need to register on site.<br />

P.O. Box 2408, Sacramento, CA 95812-2408<br />

(916) 325-2316 FAX<br />

(916) 441-4545<br />

(888) 666-2292<br />

Office Use Only<br />

#CL11<br />

ENT<br />

DATE

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