REGISTRATION FORM – 2007

IOWA WEED COMMISSIONERS ANNUAL CONFERENCE

Name ____________________________________  County _____________________

Address _______________________________________________________________

                                                                                    City                              ZIP

Telephone (Daytime) ____________________   email  _________________________

Check all that apply: Weed Comm. ______ Deputy Weed Comm._______

            New Weed Comm. ________ Board of Supervisors _________ Other _______

Please check all that you will be in attendance for:

            Thursday March 1 – Lunch _____   Evening dinner _____

            Friday March 2 - Breakfast _____   Lunch _____ 

Are you planning to stay at the Quality Inn? Yes ____ No ____

FEES

Registration: Required of all attending: (includes meals and dues)                  $100.00   _____

            (Registration cannot be split)

Extra meal tickets: One set is included in your materials, extras can be ordered for your spouse.

Lunch – March 2   $14.00        _____              Breakfast buffet – March 3    $12.00    _____

Dinner – March 2   $26.00       _____              Lunch – March 3   $14.00                    _____

                                                                        Total                                        ____________

Checks should be payable to: IOWA WEED COMMISSIONER’S ASSOCIATION

Please make motel reservations by February 18. Be sure you tell the motel that you are attending the Iowa Weed Commissioner’s Association Conference to get the government rate. Quality Inn telephone number: 515-232-9260

Mail registration with payment by February 18 to:

            Weed Conference

            Entomology and Plant Sciences Bureau

            Iowa Department of Agriculture and Land Stewardship

            2230 South Ankeny Boulevard

Ankeny, Iowa 50023