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wirir.~c <br />~iiv~~ <br />Date: August 22-24, 2011 <br />Location: Breezy Point Resort, Breezy Point, MN <br />Minnesota Municipal Utilities Association <br />3025 Harbor Lane North, Suite 400 <br />Plymouth, MN 55447 <br />Phone 763-551-1230 <br />Faz 763-551-0459 <br />www.mmua.ora <br />Attendee Information (include spouse or guest) <br />Name. <br />Name (2) <br />Name (3) <br />Name (4) <br />Utility: <br />Address: <br />City: <br />State/Zip: <br />Main Contact: <br />Email: <br />Phone <br />Registration Fees <br />Members: <br />$225 on or before August 5, 2011 <br />$250 on or after August 6,2071 <br />(No charge for spouse or guest of attendee.) <br />Conference fee: $___ __ <br />x Number of Attendees: <br />Total Due: $ <br />Payment <br />^ Check Payable to MMUA <br />^ Bill Utility <br />^ Purchase order <br />Please register the following as individuals or as a scramble team. Incomplete foursomes will be filed in. <br />Name/City/Co. Name/City/Co. <br />Name/City/Co. Name/City/Co. <br />I would like to golf with <br />If you register yourself on a team please be sure to check with these people in advance. <br />Please register the fallowing 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/Cily/Co. Bike Rental: Yes No <br />REFUND: A full refund (minus $25 processing fee) will be given on advance registrations if the MMUA office is notified by 4:30 pm on August 5, 2011. <br />PHOTOGRAPHS: By registering for this conference, I aulhonze Minnesota Municipal Utilities Association (MMUA) to photograph me at this event and <br />use such photographs in MMUA marketing pieces (both electronic and print). I understand that I will not be paid for giving this consent. <br />QUESTIONS: Please contact Rita Kelly by email rkellvrc~mmua.ora or phone 763-746-0707. <br />Register online: www.mmua.ora under Calendar link <br />Registerby mail: Minnesota Municipal Utilities Association <br />3025 Harbor Lane North, Suite 400 <br />Plymouth, MN 55447 <br />Register by email: rkellvC~mmua.org <br />Register by phone: 763-746-0707 <br />Register by fax: 763-551-0459 <br />Registration Deadline is <br />August 5, 2011 <br />