53rd
ANNUAL
SHORT COURSE
FEBRUARY 15th & 16th, 2012
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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, 2012, 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