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| ISSA Convention Registration Form Nov. 17-19, 2006 Five Sullivan Brothers Convention Center Ramada Inn, Waterloo |
Spouse:__________________________________________________________________
Club:____________________________________________________________________
Address:_________________________________________________________________
City:_____________________________________________State:_____Zip:___________
Phone:__________________E-mail:___________________________________________
Full Adult Registration (Please Indicate Number Attending)
______Early Bird* $50 per person before Oct. 15 ______$60 per person thereafter
Included in Registration:
Saturday Registration (Please Indicate Number Attending)
______$45 Must Pre-Register.
Please Note: Registration does not include lodging.
For hotel reservations, dial (319) 233-7560. Ask for ISSA rate of $72 plus tax.
Youth Registration
______$30 per youth
Name:_____________________________________________________Age:__________
Name:_____________________________________________________Age:__________
Included in Youth Registration:
Youth Snowmobile Safety Certification Course
______$5 per youth (course materials fee)
Name:_____________________________________________________Age:__________
Name:_____________________________________________________Age:__________
Christmas Card Workshop (No Charge, Materials Provided, Ladies Only)
Name:___________________________________________________________________
Total Amount Enclosed $_______
Make check payable to: ISSA Convention
Mail payment and completed registration form to:
Dean Eastman
If you have any questions, contact 2006 ISSA Convention Chair Dave Carmichael at (319)
882-3749 or at snohawk1@butler-bremer.com.
Club:____________________________________________________________________
Address:_________________________________________________________________
City:_____________________________________________State:_____Zip:___________
Phone:__________________E-mail:___________________________________________
Full Adult Registration (Please Indicate Number Attending)
______Early Bird* $50 per person before Oct. 15 ______$60 per person thereafter
Included in Registration:
- Friday night hospitality and entertainment
- Saturday brunch
- Saturday afternoon seminars
- Saturday evening banquet
- Snow Show admission
Saturday Registration (Please Indicate Number Attending)
______$45 Must Pre-Register.
Please Note: Registration does not include lodging.
For hotel reservations, dial (319) 233-7560. Ask for ISSA rate of $72 plus tax.
Youth Registration
______$30 per youth
Name:_____________________________________________________Age:__________
Name:_____________________________________________________Age:__________
Included in Youth Registration:
- Saturday night chaperoned dinner and semi-professional hockey game
Youth Snowmobile Safety Certification Course
______$5 per youth (course materials fee)
Name:_____________________________________________________Age:__________
Name:_____________________________________________________Age:__________
Christmas Card Workshop (No Charge, Materials Provided, Ladies Only)
Name:___________________________________________________________________
Total Amount Enclosed $_______
Make check payable to: ISSA Convention
Mail payment and completed registration form to:
Dean Eastman
- 409 Elm Street
Riceville, IA 50466-7658
If you have any questions, contact 2006 ISSA Convention Chair Dave Carmichael at (319)
882-3749 or at snohawk1@butler-bremer.com.