Legislative Conference Registration Form

Washington State Transit Association

2010 WSTA Legislative Conference

January 27-28, 2010

Washington Public Utility Districts Association office
212 Union Avenue, 2nd floor
Olympia, Washington

On-line Registration Form

Registration Fee: $150 includes facility rental, lunch and dinner on Wednesday, and breakfast on Thursday. Additional guests are welcome to attend Thursday's dinner for an additional $30. A $20 late fee will apply to all registrations received after noon on January 21, 2010.

Please register each individual separately. Complete the information below and click on the submit button to send the registration form.

Name/Title:

System:

Address:
City: State: Zip Code:
Billing Address:
City: State: Zip Code:
Phone:

Fax:

E-mail:

If you have any dietary considerations, please note them here:

Please indicate if you will be being a guest to Wednesday evening's dinner or if you are unable to join us.

I will be bringing a guest to Wednesday evening's reception and dinner.
Additional $30 fee.

I will not be attending the Wednesday evening's reception and dinner.

Payment Method - 2010 WSTA Legislative Conference registration fee is $150. Guest's attendance for the Wednesday evening's reception and dinner is an additional $30.

Please send invoice for $.
The check will be mailed on or about .

Refund Policy: Registration fees for cancellations made prior to 5 p.m. on January 25, 2010 either will be refunded or not invoiced. Refunds will not be made for cancellations made after that date and registrations not canceled prior to that date will be invoiced. Substitutions are welcome--please notify WSTA staff if a substitution is necessary. *Prices for each event are per person.

Please make check payable to WSTA and mail to:

WSTA
2629 12th Court SW
Olympia, WA 98502-1118

WSTA staff is happy to provide information and answer questions.

(360) 786-9734 ~ Fax (360) 786-9740
2629 12th Court SW ~ Olympia, WA 98502-1118