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

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Name:  ______________________________________________________________________________________

Title: ________________________________________________________________________________________

Company:  ___________________________________________________________________________________

Address:  ____________________________________________________________________________________

City:  _______________________________________  State/Province:___________  Zip:  ____________________

Telephone:  ______________________________________  Fax:  _______________________________________

Email:  ______________________________________________________________________________________

 

Registration Fee(please call if you have questions about which fee you should be paying)

 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)*

*Cancellation Policy: Cancellation after 8/1/11
the fee will be applied towards future EI Digest Gathering Registration

  Other interests, not included in conference registration

 September 23- ½ Day Fishing on Charter Boat

 September 23- Golf

 September 24/25 – Vintage Car Races/Aircraft Exhibition – North Island Naval Base

  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.
   
Method of Payment
 

Check #___________  Check Amount $__________________

Credit Card #_________________________________________

Amount Authorized $___________________________

Type of Credit Card: (circle one)         Amex       Master Card       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.
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