VIRGINIA
ASSOCIATION FOR PARKS
2008 FALL
CONFERENCE REGISTRATION FORM
-THURSDAY,
SEPT. 18 THROUGH SATURDAY SEPT. 20-
THURSDAY “CONVIVIALITY” __________person(s)
FRIDAY
BREAKFAST __________person(s)
FRIDAY
TOUR – (pay your own lunch tab) ____person(s)
FRIDAY
DINNER __________person(s)
SATURDAY
BREAKFAST __________person(s)
SATURDAY
LUNCH __________person(s)
===============================================================
CONFERENCE FEE $ 25.00 X
______person(s) =
We will gladly accept payment of 2009 dues.
(Check
with Ann Lipp if you need to confirm status of your individual dues or your
group’s dues)
$10.00_______individual and/or $20.00
________group =
GRAND TOTAL
REGISTRATION and/or DUES =
Make check
payable to:
Mail form and
check to: Ann Lipp,
Reminder:
Call Nancy Heltman at 804-786-5057 (or email:
nancy.heltman@dcr.Virginia.gov) for
lodging accommodations.
Name(s): _______________________________________________________________
Address:
________________________________________________________________
PHONE:(home)
(work)____________________________
EMAIL:________________________________FAX:____________________________
HOME
PARK/GROUP___________________GROUP WEBSITE_________________