EI Hazardous Waste Digest Gathering

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EI Digest Gathering – Registration Form
September 21-24, 2010
Kona Kai Resort, Spa & Marina

Name:

Title: Company:

Address:

City: State: Zip: Country:

Phone: FAX:

E-Mail Address:

Spouse in Attendance? Yes No Name of Spouse:

Registration Fee*
$1,100.00 (not including golf
$1,225.00 (including golf)

Please note that part of this year’s conference there will be breakfasts and luncheons. For spouse registration fees for meals, call 952-831-2473.

Events
Fishing, Thursday afternoon, September 23
Golf, Thursday afternoon, September23 
Will not be participating in either event, interested in ___________________________________________________

Payment Method:
____ Check Enclosed $___________ Amount enclosed
____Credit Card #_______________________________________________

Type of Card (Circle) Amex MasterCard Visa
Expiration Date _______/___/______
Name on Card ________________________________________
Signature: ____________________________________________

EI Digest Gathering Registration
c/o The Envirobiz Group
7515 Wayzata Blvd. Suite 135
St. Louis Park, Minnesota 55426
Further Information:952-831-2473 Fax Number: 952/831-6550

Reminder: You are responsible for making your hotel reservations at the Kona Kai Resort, Spa & Marina. Reservations can be made by calling 619-221-8000 under The Envirobiz Group *Cancellation Policy: No refunds for cancellations received on or after September 3, 2010

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