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2015 Technical & Operations Conference 4418 <br /> Dates: December 15-17, 2015 DMIL'E <br /> Location: Holiday Inn & Suites <br /> 75 South 37th Avenue Minnesota Municipal Utilities Association <br /> St. Cloud, MN 56301 3025 Harbor LN N#400,Plymouth,MN 55447 <br /> Phone: 320-253-9000 Phone 763-551-1230/Fax 763-551-0459 <br /> www.mmua.org <br /> Attendee Information <br /> Registration Fees <br /> Name : <br /> On/before December 1, 2015: <br /> Title: • Member Rate -$440 per person <br /> Email: <br /> Note: On December 2, registration fees <br /> Name(2) : increase$50/person. <br /> Title(2): Total Due$ <br /> Email (2): <br /> Name(3): Payment <br /> Title(3): ❑ Check Payable to MMUA <br /> Email (3): ❑ Bill Utility/Company <br /> Name(4) : E Purchase order <br /> Title(4): ❑ Credit Card <br /> Email (4): Li Visa ❑ MasterCard ❑ Discover <br /> Utility/Co.: <br /> Name as it Appears on Card <br /> Address: <br /> Cardholder's Signature <br /> Main Contact: <br /> Credit Card Number <br /> Email: <br /> Phone: Expiration Date Card Code on Back <br /> REFUND: MMUA will issue a refund (less $25 processing fee per person)provided MMUA is notified of the cancellation by <br /> 4:30 pm on December 1, 2015. Sorry, no refunds after December 1. <br /> PHOTOGRAPHS: By registering for this conference, I,the attendee named above, authorize Minnesota Municipal Utilities <br /> Association (MMUA)to photograph me at this event and use such photographs in MMUA marketing pieces(both electronic and print). <br /> I understand that I will not be paid for giving this consent. <br /> QUESTIONS: Please contact Rita Kelly by email rkelly anmmua.orq or phone 763-746-0707. <br /> Register online: www.mmua.orq/event/2015-tandoconf <br /> te�`rg <br /> Re$15 Register by mail: Minnesota Municipal Utilities Association <br /> Ea5`1• 3025 Harbor Lane North, Suite 400 <br /> Plymouth, MN 55447 Fees <br /> increase <br /> Register by email: rkelly(a�mmua.org $50 on <br /> Register by phone: 763-746-0707 Dec. 2 <br /> Register by fax: 763-551-0459 <br /> 92 <br />