Technical Conference 2011 Booth Form

Minnesota Rural Water Association

Our Mission: "To provide the latest information, education, and technical assistance
to protect our public waters and improve the quality of life in Minnesota."

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	Technical Conference 2012

28th Annual MRWA Water & Wastewater Technical Conference
March 6-8, 2012 - Exhibit Day: March 6, 2012
Exhibitor Booth Online Registration Form

Fill in the following information:

Company Name:
Address:
City:
State:
Zip/Postal Code:
Phone:
Fax:
E-mail:
Contact Person:

Booth Location Choices: (Booth locations are first come, first serve.)
Payment is required in order to hold your booth location.

Select booth numbers from: Booth Layout Form

Booth number 1st Choice:
Booth number 2nd Choice:
Booth number 3rd Choice:

Booths (8 x 10) $600.00
(includes registration for one person)

Number of Booths x $600.00 =

Additional Personnel attending $65.00 Each

Number of Persons x $65.00 =

*TOTAL DUE: :

Please list ALL personnel attending* for name tags: (list each person in a separate box)

*Booth attendees wishing to receive certification hours must pay full attendee registration fees.

Do you need electricity?

Questions/Comments:

*If you are not a member of MRWA, please add $225.00 for Membership.
Make checks payable to Minnesota Rural Water Association
217 12th Avenue SE, Elbow Lake, Minnesota 56531.
Phone: 800-367-6792.
GRAND TOTAL DUE:

Payment Method:

This is your invoice - please print and send payment to Minnesota Rural Water Association.
*Minnesota Rural Water is now set up to accept credit cards, please call our office at 800-367-6792
if you wish to process your booth payment on credit card.

*Membership in the Minnesota Rural Water Association is a prerequisite for participation.

Exhibit booth fee includes registration for one person, booth space, curtains, display table, 2 chairs, and company sign. Electricity, up to 500 watts, is provided for you. Additional electrical service can also be purchased. One display table is provided for you. Registration for each additional company personnel will be $65.00. Industry personnel on-site registration will be $90.00. Any other needed exhibit materials such as additional tables, carpets, easels, etc., are available through A & N Convention Services, 320-253-4050. Exhibit hours will run 10:30am to 5:00pm, Tuesday, March 6, 2012. No refunds will be made on booth cancellations after February 17, 2012. Hotels that are closest to the Civic Center are Kelly Inn - 320-253-0606, Radisson Suites -
320-654-1661, Grandstay Suites - 320-251-5400, and Country Inn Suites - 320-252-8282.

MRWA is a proud member of
National Rural Water Association

Fast Tracks

Minnesota Rural Water Association
217 12th Avenue SE
Elbow Lake, MN 56531
Phone: 218-685-5197
Fax: 218-685-5272
E-mail: mrwa@mrwa.com