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t ~ - - ~ 1 <br />xaxamn xuxzrnu rnnmeaassxutzox <br />Minnesota Municipal Utilities Assocation <br />3025 Harbor Lane N, Suite 400 <br />Plymouth, MN 55447 <br />Phone: 763-551-1230 <br />Date: August 23 - 25, 2010 Fax: 753-ssi -Dose <br />Location: Arrowwod Resort, Alexandria, MN www.mmua.org <br />Attendee Information (IRCludeapoRaeal Registration Fees <br />Name: <br />Name (2): $200 on or before August 2 <br />$230 on or after August 3 <br />Name (3): <br />Name (4): Conference Fee: <br />Utility: z Number of Attendees: <br />Address: <br />Total Due: <br />State: <br />Zipcode: <br />Payment <br />Main Contact: Check Payable to: MMUA <br />Email: PO# <br />Phone: Bill Utility <br />• -. <br />Please register the following as individuals or as a scramble team. Incomplete foursomes will be filled in. <br />Name/City/Co. Name/City/Co. <br />Name/City/Co. Name/City/Co. <br />I would like to golf with <br />•- -• <br />Please register the following as individuals for one of the bike rides. Indicate if you will need a bike rental <br />Name/City/Co. Bike Rental: Yes No <br />Name/City/Co. Bike Rental: Yes No <br />Name/City/Co. Bike Rental: Yes No <br />REFUND: A lull refund (minus 525.00 processing (eel will be given on advanced registrations'rfche MMUA office is notified by 4:30 p.m. on August 3, <br />3010. <br />PMOTOGMpNg: By registering for this conference, I authorize Minnesota Municipal Utilities Association (MMUA) to photograph me at this even[ and <br />use such photographs in MMUA marketing pieces (both electronic and prin0. I understand [ha[ I will not be paid br giving this consent. <br />ODEBTIDNB: Please contact Bonnie by email bhayes~mmua.org or phone )63-]46-0]0]. <br />Return compkteE-egistration form byAugust2 <br />Online: www.mmua.orD under'Calendar'tink <br />Mail: MMUA Office • 3025 Harbor Lane N, Suite 400 • Plymouth, MN 55447 <br />fax: 753-551-0459 <br />