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r e ~ ' <br />A~/IAI <br />////V~1 <br />.,r.,~...r,~.rv. u~.~~ <br />Minnesota Municipal Utilities Assocation <br />3025 Harbor Lane N, Suite 400 <br />Plymouth, MN 55447 <br />Phone:763-551-1230 <br />Date: August 24 - 26, 2009 Fax: 763-551-0459 <br />Location: Breezy Point Resort, Breezy Point, MN www.mmua.org <br />Attendee Information llocledespoeses, Registration Fees <br />Name: <br />Name (2): 5200 on or before August 3 <br />Name (3): 5230 on or after August 4 <br />Name (4): Conference Fee: <br />Utility: <br />x Number of Attendees: <br />Address: <br />Total Due: <br />State: <br />Zipcode: <br />Payment <br />Main Contact: Check Payable to: MMUA <br />Email: PO# <br />Phone: Bill Utility <br />• -. <br />Please register the following as individuals or as a suamble team. Incomplete foursomes will be filled in. <br />Name/City/Co. Name/City/Co. <br />Name/City/Co. Name/City/Co. <br />I would like to golf with <br />-' ~- -• • <br />Please register the following 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/City/Co. Bike Rental: Yes No <br />REFUIIa A full refund (minus 525.00 processing feel will be given on advanced registtadons if [he MMUA office is notfied by a;30 0.m. on August 3. <br />2009. <br />PNOTOGMPMS: By registering for this conference I authorize Minnesota Municipal UtilRies Association (MMUA) ro photograph me at this event and <br />use such photographs in MMUA marketing pieces (both electronic and print). I understand that I will rrot be paid for giving this consent <br />QUESTION35: Please contact Donnie by email bhaYes~mmw.org or phone 76 3-7460 70 7. <br />Please register by returning completed form <br />Online: www.mmua.ora under calendar link <br />Mall: MMUA Office • 3025 Harbor Lane N, Suite 400 • Plymouth, MN 55447 <br />Fox: 763-551-0459 <br />