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Date: February 8-10, 2012 <br />Location: Crowne Plaza Hotel & Suites <br />3 Appletree Square <br />1-494 & 34th Avenue South <br />Bloomington, Minnesota <br />Attendee Information <br />Name: <br />Name (2): <br />Name (3): <br />Name (4): <br />Utility: <br />Address: <br />coy: <br />State/Zip: <br />Main Contact: <br />Email: <br />Phone: <br />Minnesota Municipal Utilities Association <br />3025 Harbor Lane Nodh, Suite 400 <br />Plymouth, MN 55447 <br />Phone 763-551-1230 <br />Fax 783-551-0459 <br />www.mmua.ora <br />Registration Fees <br />$230 on or before January 25, 2012 <br />$280 on or after January 25, 2012 <br />Conference fee: $ <br />x Number of Attendees: <br />Total Due: $ <br />Payment <br />^ Check Payable to MMUA <br />^ Bill Utility/Company <br />^ Purohaseorder# <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 <br />January 25, 2012. <br />PHOTOGRAPHS: By registering for this conference, I authorize Minnesota Municipal Utilities Association (MMUA) to photograph me <br />at this event and use such photographs in MMUA marketing pieces (both electronic and print). I understand that I will not be paid for <br />giving this consent. <br />QUESTIONS: Please contact Rita Kelly by email rkelly~a mmua.org or phone 763-746-0707. <br />Register bye-mail: rkellvCcr~mmua.org <br />Registerbymail: Minnesota Municipal Utilities Association <br />3025 Harbor Lane North, Suite 400 <br />Plymouth, MN 55447 <br />Register by phone: 763-746-0707 <br />Register by fax: 763-551-0459 <br /> <br />~ ~ <br />~ Registration ~ <br />~ Deadline is <br />® January 25, 2072 ~ <br />4 ~ <br /> <br />