Wyoming Association of Conservation Districts
Roundhouse Rendezvous for Grassroots Conservation
2018 Convention
November 14-16, 2018
Historic Evanston Roundhouse
Evanston, WY
Email address *
PLEASE COMPLETE A FORM FOR EACH REGISTRANT
IMPORTANT: To print a copy of your registration form, please complete the
form, then right click and print prior to clicking the submit button. If you have problems printing, please contact Kelly Brown at kelly.brown@conservewy.com.
First Name *
Your answer
Last Name *
Your answer
Title *
Your answer
Agency/Organization *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone # *
Your answer
PRE-REGISTRATION MUST INCLUDE PAYMENT AND BE RECEIVED BY NOVEMBER 2, 2018. NO REFUNDS AFTER NOVEMBER 7, 2018.
Full Registration Fee - all meal tickets are included in full registration fee - by November 2
Full Registration Fee - all meal tickets are included in full registration - after November 2
Pre-Registration Fee (required to attend any portion of convention) by November 2
Late Registration Fee (required to attend any portion of convention) After November 2
Meal/Function Tickets
Wednesday Luncheon
Wednesday Opening Reception
Thursday Awards Luncheon
Thursday Social Hour and Auction
Voting Delegate (1 per District) *
Required
Total Amount Due *
Your answer
Make Checks payable to Wyoming Association of Conservation Districts and send to: 517 E 19th Street, Cheyenne, WY 82001. If paying by credit card please call 307-632-5716 with your card information.
For registration questions, please call 307-632-5716.
Visit www.conservewy.com for more information and updated convention program
A copy of your responses will be emailed to the address you provided.
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