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Recyclers News Press

Page 13

SUMMER OUTING

Attendee & Sponsor

REGISTRATION FORM

May 29-30, 2015

Des Moines Iowa area

Prairie Meadows Conference Center

1 Prairie Meadows Drive - Altoona, IA 50009

Company Name: _______________________________________________________________________

Contact Person: _______________________________________________________________________

Friday Evening Buffet

Saturday Award Luncheon

Saturday Evening Buffet

Other Attendee Name: ____________________________________________________________________

Friday Evening Buffet

Saturday Award Luncheon

Saturday Evening Buffet

Other Attendee Name: ____________________________________________________________________

Friday Evening Buffet

Saturday Award Luncheon

Saturday Evening Buffet

Address: _____________________________________________________________________________

City, State & Zip: _______________________________________________________________________

Phone: ___________________________________________Email: ______________________________

IAR Member Registration fee ......................................$99 per yard

Award Luncheon ONLY Member....................................No Charge

Add $20 per person for registrations after 05/15/2015

Non-Member Registration fee .................................$99 per person

Award Luncheon ONLY Non-Member .....................$33 per person

Event Sponsorship (optional) .................................................. $500

Total Enclosed

$__________

Make registration check payable & send to:

Iowa Automotive Recyclers

2214 Regal Avenue

Waterloo, Iowa 50702