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August 19, 2019 <br />Breezy Point Resort <br />9252 Breezy Point Drive <br />Breezy Point, Minnesota 56472 <br />Golf TournamentRegistration <br />Name (1) <br />Email: <br />Name (2) : <br />Email: <br />Name (3) : <br />Email: <br />Name (4) : <br />Email: <br />Names above are the people you are paying for on your team. If teammates will <br />register themselves, list them below to form your team. Please make sure they are <br />golfing and plan to golf with you. If left blank, we will assign a team for you. <br />Others on Team: <br />Utility/Co.: _ <br />Address: <br />City: <br />State/Zip: <br />Main Contact: <br />Email: <br />Phone: <br />mff"All►►g V160411 <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.org <br />Registration Fees <br />Golf Tournament: <br />Full Conference Attendees: $65 per person <br />Golf Tournament Only: $110 per person <br />(* Same person must be registered for full, 3-day conference <br />and tournament for discount.) <br />ti. <br />Total Due: <br />Payment <br />❑ Check Payable to MMUA <br />❑ Bill Utility/Company <br />❑ Purchase order <br />❑ Credit Card <br />❑ Visa ❑ MasterCard ❑ Discover <br />ame as it Appears on Card <br />Cardholder's Signature <br />Credit Card Number <br />Expiration Date Card Code on Back <br />Please register the following as individuals for the bike ride. Call Trailblazer Bikes at 218-963-0699 to rent a bike (at your expense). <br />Name: Email: <br />Name: Email: <br />PHOTOGRAPHS: By registering for this event, I authorize Minnesota Municipal Utilities Association (MMUA) to photograph me at this event and use <br />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()mmua.orci or phone 763-746-0707. <br />Register online for golf: htip:/Itinvuri.com/MMUA-golf-2019 <br />Register online for bike: http://tinyurl.com/MMUA-bike-2019 <br />Register by email: rkellyammua.org <br />Register bymail. Minnesota Municipal Utilities Association <br />3025 Harbor Lane North, Suite 400 <br />Plymouth, MN 55447 <br />Register by fax: 763-551-0459 <br />Golf Tournament <br />Registration Deadline is <br />August 5, 2019 <br />(or until course is full) <br />