51st
ANNUAL
SHORT COURSE
FEBRUARY 17TH AND 18TH,
2010

REGISTER YOUR ENTIRE COMPANY - 1 FORM, 1 CHECK



NAME:  ___________________________________________________________________


COMPANY NAME: __________________________________________________________

ADDRESS:         ____________________________________________________________

PHONE:  _______________________FAX____________________EMAIL_______________


                                                                                       #ATTENDEES                                TOTAL


$125.00 ANY STATE ASSOCIATION MEMBER             ___________                $_______________
      

$75 EACH ADDITIONAL PERSON                                  ___________                $_______________

$175 ALL NON-MEMBERS                                            ____________               $_______________

$110 ONE-DAY ANYONE                                               ____________                $_______________

LUNCH ON WEDNESDAY $20.00                                  ____________                $_______________

LUNCH ON THURSDAY $20.00                                     ____________                $_______________

AFTER FEBRUARY 1, 2010, ADD $10.00 PER PERSON TO ABOVE TOTAL
___________________________________________________________________________________
MAKE CHECK PAYABLE TO DELAWARE PEST CONTROL ASSOCIATION AND MAIL TO:

DPCA
PO BOX 411
DOVER DE  19903-0411