Decorative Concrete Events 2006

Decorative Concrete NW Registration Form
Whitman Hotel & Conference Center - Walla Walla - March 6th & 7th, 2008

Company:

Mailing Address:

City/State/Zip:

Office Phone:

FAX:

Company Key Contact & email Address:

Please register the following from out Firm:

Name:

Registration includes: All scheduled seminars, hand outs as applicable, demo supplies and materials

Special Room rates of 90.00 at the historic Marcus Whitman Hotel & Conference Center are available. Make your Room Reservations: Marcus Whitman Hotel & Conference Center
1-866-826-9422 - Hotel Deadline ---- February 21, 2007
REGISTAR EARLY & RESERVE A ROOM
(Register by February 21 & save $50)

# Of persons registered: x $245each = $

# Of persons early registration x-$50.00 = $

Payment can be made by check or credit card:

Visa

Amex

Discover

Name on card

Expiration Date:

Account#

(include 3 digit V-code on back of card, following account number)

Please register through your local supplier or fax registration: FAX: 541.938.4005 Contact: 800.938.4148