EI Hazardous Waste Digest Gathering
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EI Digest Gathering – Registration Form
September 19-23, 2011
Kona Kai Resort, Spa & Marina

   

           

   

      

Registration Fee*
$1,350.00 General Registration (subtract 100.00 if fee paid by 6/30/11)
$1,100.00 Clients/Survey Participants(subtract $100.00 if fee paid by 6/30/11)
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
      
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