Northwest District Meeting

Meeting Location:

Marilyn's
148 S Whelen Ave
Medford, WI 54451

Member Registration: $35
Non-Member Registration (includes a 1-year membership): $65
Vendor Table: $100

Member Registration: $50
Non-Member Registration (includes a 1-year membership): $80

NOTE: A 3.5% credit card processing fee will be added to the total.

How many people are you registering? *

Regional Meeting Registration Info

First Name *

Last Name *

Email Address *

Phone

Current Employer *

Job Title

DNR has implemented a new CEC tracking system. This requires WWOA report credit hours by operator certification number.

DNR Operator Certification #

Event Fee(s)

If you have a discount code, enter it here

Pre-Registration Fee(s) *

Individual Attendee - $ 65.00

Vendor Table - $ 100.00

Credit Card Process Fee

Total for this participant

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *