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August 19 - 21, 2019 <br />Breezy Point Resort <br />9252 Breezy Point Drive <br />Breezy Point, Minnesota 56472 <br />Name (1) : <br />Email: <br />Name (2) : <br />Email: <br />Name (3) <br />Email: <br />Name (4) : <br />Email: <br />Name (5) : <br />Email: <br />Name (6) : <br />Email: <br />Utility/Co.: <br />Address: <br />City: <br />StatelZip: <br />Main Contact: <br />Email: <br />Phone: <br />I1��1 <br />Minnesota Municipal Utilities Association <br />3025 Harbor Lane North, Suite 400, Plymouth, MN 55447 <br />Phone 763-551-1230 Fax 763-551-0459 <br />www.mmua.oru <br />Registration Fees <br />Conference: <br />$295 per person on or before July 26, 2019 <br />$345 per person on or after July 27, 2019 <br />Total Due: $ <br />No charge for spouse or guest of registered attendee. Please <br />list names so we can have name badges prepared. <br />Payment <br />Check Payable to MMUA <br />❑ Bill Utility/Company <br />❑ Purchase order <br />Credit Card <br />❑ Visa ❑ MasterCard ❑ Discover <br />Name as it Appears on Card <br />Cardholder's Signature <br />Credit Card Number <br />Expiration Date Card Code on Back <br />REFUND: A full refund (minus $30 per person processing fee) will be given on advance registrations if the MMUA office is notified by 4:30 pm on <br />August 2, 2019. <br />PHOTOGRAPHS: By registering for this conference, I authorize 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 rkellv(cammua.o[g or phone 763-746-0707. <br />Register online: www.mmua.org/event/summer-conf-201 9 <br />Register by email: rkelly mmua.org <br />Register by mall: Minnesota Municipal Utilities Association <br />3025 Harbor Lane North, Suite 400 <br />Plymouth, MN 55447 <br />Register by fax: 763-551-0459 <br />Registration Deadline is <br />August 5, 2019 <br />RE <br />