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Conference Registration Form

Red = Required Field

Your Name:
Your Title:
Institution:
Address:
City:
State:
ZIP:
Phone:
Your Email:
Are you a member? Yes | No
Which Conference/Event are you attending?
Registration Details:

  • Registration Fee:
    Full conference for members $65.00
    Full Conference for non-members $75.00
    Late Fee: Register after 4/02/10 – pay full fee plus $10.00
    (Full conference fee includes Lunch for both days and Tuesday evening banquet.)

  • Per Day rate:
    Tuesday- member $45.00 non-member $50.00
    Wednesday-member $25.00 non-member $30.00
    (All registration fees include meals for that days’ events)

    Registered guest for Tuesday evening banquet   $25.00
Please indicate your attendance:
Guest Name:

Dinner Choice for Tuesday evening banquet:
Special dietary needs:

Please note: Breakfast is included with the room. If you are not staying in the hotel you will need to make separate breakfast arrangements.

Registration Deadline is April 02, 2010.

Submit this registration and mail your payment to:
            WyASFAA
            Adrienne Plemel, WyASFAA Treasurer
            Western Wyoming Community College
            PO Box 428
            Rock Springs, WY 82902

Note: A separate registration is needed for each person attending the conference but one check per institution is permitted.  Please indicate the name of each attendee the check covers.

Hotel information:
Saratoga Resort & Spa
601 East Pic Pike Road
Saratoga, WY 82331
www.saratogaresortandspa.com
For directions please go to www.wyasfaa.org.

Registration:
1-800-594-0178
Let the receptionist know you are attending the WyASFAA conference to get the lower rate.

Room Rates:*
$95 for a single
$95 for a double
$110 for a suite

*Second night is half price on all rooms        

 
Payment:
   
 

 

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