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REGISTRATION FORM

clean rivers, clean lake VI st


monday, august 31 , 2009
7:30AM - 8:15AM Registration Fee ......................................................$35 Day of Conference ...................................................... $40
Conference fee includes: Conference materials, light breakfast, mid-morning and afternoon refreshments, and the luncheon. Pre-payment by mail will save money and allow for faster check-in at the registration table. Send completed form and check (payable to MMSD) to the address below. Sorry, no credit cards.

Registration:

Information:

Email conference@mmsd.com Phone (414) 225-2161 Visit www.mmsd.com or www.swwtwater.org

CON

EN FER CE
FEE

Please return before August 26th, 2009 B. Berdes


Milwaukee Metropolitan Sewerage District 260 W. Seeboth Street, Milwaukee, WI 53204

$35
$40

Mail completed registration form and check (payable to MMSD) to:

Day of Conference

Name(s) Affiliation Address

Phone Email

Breakout Sessions

(please circle one session for each time slot)

10:45AM - NOON .................................................... A 2:30PM - 3:30PM .................................................... D

B E Seating

Special Needs

(please circle necessary arrangements)

Vegetarian Meal

Access

FOR OFFICE USE ONLY


Date Recd __________________ Check Included Y N Multiple Registrants Y N Name on Check ____________________________________________ MMSD Employee Initials _______ Check # _______________

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