Legislative Conference Registration Form

Washington State Transit Association

2012 WSTA Legislative Conference

Thursday, February 16, 2012

8:00 am - 5:00 pm

Washington State Public Utilities District Association Office
Conference Room
212 Union Avenue (corner of Union Ave. SE and Franklin St. SE), 2nd Floor, Olympia, WA 98501

Parking Information: There is a state parking lot (pay to park) one block away (corner of 11^th Ave. SE and Franklin St. SE).

Driving Directions

Online Registration Form

Registration Fee: $100 includes facility rental, breakfast, lunch, and dinner. Additional guests are welcome to attend dinner for an additional $30. A $20 late fee will apply to all registrations received after noon on February 9, 2012.

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 dinner or if you are unable to join us.

I will be bringing a guest to dinner for the additional $30 fee. (note: this is the night before the conference; not the night of.)

I will not be attending the dinner.

Payment Method - 2012 WSTA Legislative Conference registration fee is $100. Guest's attendance for Wednesday evening's 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 February 13, 2012 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