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Wisconsin Towns Association
61st Annual Convention Registration Form

(This form should be copied for multiple registrations)

October 5 – 8, 2008, Radisson Paper Valley Hotel & Convention Center, Appleton, Wisconsin
 

NAME ________________________________________ OFFICE OR TITLE ____________________________

MAILING ADDRESS __________________________________________________________________________

CITY _________________________________________ ZIP CODE ____________________________________

NAME OF TOWN OR VILLAGE _____________________________ COUNTY ________________________

SPOUSE OR GUEST NAME (for name tag if registering)____________________________________________

Years of Service as a Town Officer if 30 Years or More______________________________________________

Were you recognized with a Certificate at the 2007 Convention?  Yes __________  No __________

If  spouse/guest plans on  riding  bus to  Fox River Mall on Tuesday for shopping check here  _______

Please Check Appropriate Line or Lines Below:

FULL CONVENTION REGISTRATION                                        SINGLE DAY Monday _____ Tuesday _____

 

Number                                                                 $$                           Number                                                                 $$

_____ Town/Village Officer* $110.00          _____                    _____ Town/Village Officer* $60.00             _____

_____ Spouse or Guest* $25.00                      _____                    _____ Spouse or Guest* $25.00                      _____

_____ Mon. History Museum/Paper Tour     _____                    _____ Mon. History Museum/Paper Tour     _____

            $8.00 Limited to first 80 registered                                                    $8.00 Limited to first 80 registered

             (Registered Spouses & Guests Only)                                                (Registered Spouses & Guests Only)        

_____ Optional Dairy Farm Tour                    N.A.                        _____ Optional Dairy Farm Tour                    N.A._

           Tues. 1:15 p.m., No Charge                                                Tues. 1:15 p.m., No Charge

           (Registered Attendees Only)                                                               (Registered Attendees Only)

_____ Optional Spouse Luncheon $12/day _____                       _____ Optional Spouse Luncheon $12/day _____

           (Registered Spouses & Guests Only)                             (Registered Spouses & Guests Only)

           Mon. _____ Tues. _____ Both _____                           Mon. _____ Tues. _____Both _____

_____ Tues. Evening Banquet Optional         _____                    _____ Tues. Evening Banquet Optional         _____

            $35.00 per person                                                                               $35.00 per person

           (Registered Officers & Spouses/Guests)                                                             (Registered Officers & Spouses/Guests)

If someone not registered for the Convention wants to attend the Tuesday Evening Banquet, the cost of the optional banquet ticket for a non-registered spouse or guest is $35.00.   Please indicate if you want to purchase a banquet ticket for a non-registered spouse or guest.

_____ Tues. Evening Banquet Optional         _____                    _____ Tues. Evening Banquet Optional         _____

            $35.00 per person                                                                               $35.00 per person

           (Non-registered Spouses & Guests)                                                    (Non-registered Spouses & Guests)

TOTAL  $ Amount                                      _____                    TOTAL $ Amount                                        _____

*Note:  The registration includes lunch for officers, but not spouses or guests. Registration does not include the optional Tuesday Evening Banquet for either.  Lunch tickets may be purchased for spouses/guests.

- Please include all complete names coming under one registration fee (on separate registration forms) and send your check along with registration forms to:  Wisconsin Towns Association, W7686 County Road MMM, Shawano, Wis.  54166-6086.     

 - Please return registration forms and checks by Wednesday, September 24, 2008!!    Registrations received after that date will be $15.00 per person higher for late registration fee.

 

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