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REGISTRATION FOR THE 17th ANNUAL AMERICAN PAULOWNIA ASSOCIATION
CONFERENCE
Name(s)______________________________________________________________________
_____________________________________________________________________________
Please
list the name(s) of all attendees for registration & name tag purposes
Business
/ Affiliation_____________________________________________________________
Address________________________________City______________State_____Zip__________
Phone___________________________________E-mail________________________________
Registration Fees: {Includes all conference
activities: lectures, meals, breaks, and field trips.
$55/person
(APA Member*, registrations received prior to 4/6/07):…….$55 x______=
$______
*(Members
of the American Walnut Council or the Forest Landowners Assoc. included at
member rates.)
Please
check one) _____APA Member; _____Walnut Council Member; _____Forest Landowners
Assoc.
$35/person
(Attending spouses, employees, and luncheon guests):……$35 x____= $______
$65/person
(Non members & late registrations after 4/6/07):…………….$65 x______=
$______
Vendor
table desired: ( ) yes, ( ) no
There is no fee for vendor tables, request only that a door prize or silent auction article be
donated with a retail value of $15.00 or more.
TOTAL AMOUNT ENCLOSED =
$__________
Please
Make Checks Payable To: American Paulownia Assn., Inc.
Mail To: Sharon
Blickenstaff
APA Secretary/Treasurer
Attn:
Convention Registration
16345
Mt. Tabor Rd.
Hagerstown,
MD 21740
*Bring along your personal items made from Paulownia
(free display space provided). If
you wish to set up an exhibit or require a vendor table, contact Dan
Blickenstaff at mthope@erols.com prior to 4/10/08.