Western Conference Registration

Name(s) ____________________________________________
Address ____________________________________________
City/State/Zip ________________________________________
Phone ( ) ____________________________________________
E-mail address _______________________________________

Registration Fee: $7.50/person
Number ________________ Total $ ____________________
Registration fee covers conference site rental, coffee, refreshments, etc.

Dinner Reservations: Saturday June 2 (Buffet-chicken, beef, vegetarian) $18.00
per person.

I will attend _______ I will not attend _______
Number _______ Total$ _______
Total Check: _______

Send this form by May 25, 2001 with a check made out to:
Dave Lorenz/FFLA
2737 W. Darleen Dr.
Flagstaff, AZ 86001-1016
FAX: (520) 523-4230
email: Dave.Lorenz@nau.edu

Conference Location:
Flagstaff City Hall, 211 W Aspen, Flagstaff, AZ

RV campsites, campgrounds and motel listings will be forwarded to those who return registration by May 15, 2001.

Please bring an auction item to help raise "seed money" for next year's conference (optional, but any donations are appreciated).

Item description : ________________________________________________

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Note: conference information is available on this web site and at
www.wildfirenews.com