2002 Nebraska Mosquito and Vector Control Association

Annual Meeting Registration Form

Kearney, Nebraska – Holiday Inn

October 3-4, 2002

Name ______

Agency ______

Address ______

City______State _____ Zip ______

 Advance Registration, $50.00 per person (includes registration, Thursday lunch, Thursday evening banquet, and 2003 NMVCA dues)

 Registration at the door, $60.00 per person

 Extra banquet ticket(s) $20.00 per person

Total Enclosed $______

Checks payable to NMVCA. All registration fees must be paid by the day of registration. We will not bill agencies or issue purchase orders or invoices.

Hotel reservations should be made directly with the Holiday Inn in Kearney at either (800) 248-4460 or (308) 237-5971, and mention the NMVCA to get the discounted rate.

Mail this registration form (and checks payable to NMVCA) to:

Marge Root 689 Elm St. Ashland, NE 68003

Questions? Call Wayne Kramer 402/471-0506