VIRGINIA ASSOCIATION FOR PARKS
2006 SPRING CONFERENCE REGISTRATION FORM
THURSDAY, APRIL 6 through SATURDAY, APRIL 8
THURSDAY EVENING ARRIVAL __________ person(s)
FRIDAY BREAKFAST __________
person(s)
FRIDAY TOUR (LEESYLVANIA/WIDEWATER) __________ person(s)
FRIDAY DINNER __________
person(s)
SATURDAY BREAKFAST __________
person(s)
===============================================================
REGISTRATION FEE
$ 5.00 X________person(s) =
We will gladly accept payment of 2006 dues.
$10.00_______individual
and/or $20.00
________group =
GRAND TOTAL
–REGISTRATION and/or DUES =
Make check
payable to:
Please Print
and Mail form and check to:
Ann Lipp,
Reminder:
Call Nancy Heltman at 804-786-5057 (or email: nancy.heltman@dcr.Virginia.gov)
for
accommodations.
Name(s):
______________________________________________________________
Address:
_______________________________________________________________
PHONE:(home)
(work)____________________________
EMAIL:________________________________FAX:____________________________
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PARK/GROUP___________________GROUP WEBSITE_________________