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i~ <br />r® ®® <br />1~ aiss®n es®rt <br />2100 Arrowwood Lane NW, Alexandria, MN 56308 <br />Please Note: Please register for the MAWD Conference on <br />the Registration Form. This form does not register you for <br />the MAWD Annual Meeting. <br />Name: <br />Organization: <br />Address: <br />Phone: (Day) <br />®el ea ese~ati® s <br />Please send completed form to Arrowwood by <br />November 10th. <br />(One form per Annual Meeting Registrant. <br />You may copy this form.) <br />Send to: 2100 Arrowwood Lane NW, Alexandria. MN 56308 <br />Fax:320-762-0133 Phone:320-762-1124 <br />(Phone reservations not accepted -fax or mail only.) <br />City/State/Zip: <br />Please select one room plan er a .The room rates are for 1-4 persons <br />Lodging I Lodging II <br />Room for Nov. 30 & Dec. 1.....$146.97 Room for Dec. 1.....$73.49 <br />Smoking Preference :Smoking _ Non/Smoking _(Preferenoe not guaranteed) <br />Rooming with (names please) <br />Total Lodging: $ <br />Please select one meal package per person. (Meal packages are not refundable.) <br />1VIea1 Package I Package II Additional Banquet Tickets <br />$68.00 per person $57.00 per person # @ $ 30.00 per person = $ <br />Breakfast, Lunch, Lunch and Banquet on Dec. 1 <br />Banquet on Dec. 1 and Breakfast on Dec. 2 <br />and Breakfast Dec. 2 Individual meal tickets will not be sold <br />at the resort during the conference. <br />Package I Package II <br />Total # _ $ Total # _ $ ~,.::::., .::::::::::..:.,.::::.~...:.::::::...:...::::.:.:...:.:.:::::::.....:::::.._=-..:..::::...:...::::::.::. <br />TotallVleals: $ <br />Total IVleals ~ Lodgang: $ <br />Guaranteed Payment: <br />Card Number: <br />Signature: <br />Visa/MasterCard American Express Other: <br />Exp. Date: <br />All rooms must be guaranteed. Individual reservations cancelled within 72 hours ofthe scheduled arrival date will be charged one night lodging on the date of <br />cancellation. Check-in time is 4:00 p.m. Checkout time is 12:00 noon. <br />