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2010 Convention Registration Form

VIEWS: 9 PAGES: 1

									   BUILDING THE FUTURE
LACN 2010 CONVENTION REGISTRATION
The following events are included in the cost of your complete registration: All business sessions,
meetings, Opening Reception, Buffet Breakfast, education programs, Convention Luncheon, Associates
Reception and the President’s Dinner and Awards Program.
Hotel reservations can be made by calling the Hyatt at Fisherman’s Wharf (888) 421-1442 by September 24th.

Name:                                                                      Spouse/Guest:
Company:
Address:
City:                                                            State:                           Zip:
Telephone:                                            Fax:                                        E-Mail:

COMPLETE REGISTRATION
Includes all convention events except LACN Log Jam 2010 5K Fun Run.
                             By 9/30      After 9/30           (# Attending)
LACN Member                               $400                  $430                 x                                =          $
Spouse/Guest                              $350                  $380                 x                                =          $
Non Member                                $600                  $700                 x                                =          $
                                                                                      Registration Sub Total                     $

LACN LOG JAM 2010 5K FUN RUN – OPTIONAL EVENT
Log Jam Fun Run – Thursday 10/21              $ 30 *        x                      =      $
Includes participant T-shirt/Please indicate below shirt size and quantity needed
SM (    ) MED (       ) LG (     ) XL (      ) 2X (    ) 3X (     ) Additional donation $
*(Your tax deductible donation of $30 for the Log Jam 5K Fun Run will be donated to the Wounded Warrior Project.)

ADDITIONAL TICKETS
(For extra event tickets only! –all events listed below are included with the complete registration
package above.)
Opening Reception – Thursday 10/21           $ 85         x                    =      $
Convention Luncheon – Friday 10/22                              $ 85                 x                                =          $
Associates Reception – Friday 10/22                             $ 85                 x                                =          $
President’s Dinner – Friday 10/22                               $125                 x                                =          $
                                                                                     Additional Events Sub Total $
                                                                                                                      TOTAL $
  CHECK ENCLOSED FOR $
  INVOICE US (Non-member registrations must be prepaid)
  CREDIT CARD PAYMENT            MasterCard           Visa              American Express            Discover

Card Number:                                                               CCV-CSC#:                       Expiration Date:

Name on Card:                                                                                              Authorized $ to Charge:

If company card - Company Name:

Cardholders Signature:

                  There will be a 10% service charge for all cancellations received prior to 10/08/10. NO REFUNDS will be issued after 10/9/10.
                                            LACN • 177 Parkshore Drive • Folsom, CA • 95630
                                    Phone: 800/266-4344 • 916/235-7490 • Fax: 916/235-7496
                           E-mail: lacn@lumberassociation.org • website: www.lumberassociation.org

								
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