WVFA Winter 2018-19

I N D U S T R Y N E W S www.wvfa.org Winter 2018–2019 |  West Virginia Forestry Association Mountain State Forestry 13 t , 201 9 A.B. Brooks Memorial Forestry Symposium Registration Name Company Address City State Zip Phone Fax Registration ENDS February 6, 2019!! *Complete package includes: Legislative Reception, Breakfast, Lunch & Program!! Complete Package ❖ $90.00 Registration(Member) ❖ $95.00 Late Registration(Member) ❖ $100.00 Registration(Non-Member) ❖ $105.00 Late Registration(Non-Member) Buffet Breakfast ONLY ❖ $30.00 Registration(Member) ❖ $35.00 Late Registration(Member) ❖ $45.00 Registration(Non-Member) ❖ $50.00 Late Registration(Non-Member) Symposium ONLY ❖ $30.00 Registration(Member) ❖ $35.00 Late Registration(Member) ❖ $40.00 Registration(Non-Member) ❖ $45.00 Late Registration (Non-Member) *** Please fill out informationbelow Name on Card Card# SecurityCode Billing Zip Code Legislative Reception ONLY ❖ $35.00 Registration(Member) ❖ $40.00 Late Registration(Member) ❖ $50.00 Registration(Non-Member) ❖ $55.00 Late Registration(Non-Member) Deli Buffet Lunch ONLY ❖ $35.00 Registration(Member) ❖ $40.00 Late Registration(Member) ❖ $50.00 Registration(Non-Member) ❖ $55.00 Late Registration (Non-Member) Payment Options ❖ Check Enclosed ❖ Invoice at the address above ❖ Receipt Requested ❖ Charge my Visa, MasterCard, AmEx, Discover (Circle One) Exp. Date Authorized Signature