ARIZONA WINTER MAINTENANCE CONFERENCE
PARTICIPANT ENROLLMENT FORM
(Please Copy to Register Additional Participants)
City: State: Zip: Inf
Phone: Fax: or
ase check which applies:
Early Bird Registration before September 7th, 2004
$109 Includes Two Breakfasts and Two Lunches
Registration after September 7th, 2004
$149 Includes Two Breakfasts and Two Lunches
Free- 4 hours of Winter Survival Training
All registrations/Cancellations must be received by September 20, 2004.
Please complete the form and submit by fax to (602) 712-3007 to ensure registration.
All registrations must be paid for by check by September 20th, 2004, please make checks payable
to Associated General Contractors. If a participant is registered and does not show for the
conference, registration will not be refunded
Mail form and check to:
2004 Arizona Winter
1130 N. 22nd Ave.
Phoenix, Arizona 85009.
**Vendor Booth Request forms contact: Lori Sayers, Arizona LTAP, at (602) 712-4939.