2010 PNWA ANNUAL MEETING ONLINE REGISTRATION

2010 Annual Meeting
October 13-15, 2010
The Davenport Hotel and Tower
10 South Post Street
Spokane, WA 99201
Reservations: 800-899-1482
www.thedavenporthotel.com

Personal Information:
Please note that information entered below will be reflected AS IS on your name tag & meeting materials.

	First Name
	Last Name
	Title
	Organization
	Address
	City
	State
	Zip Code
	Phone Number
	Fax Number
	Email Address*

Registration Information:

Registration Fee Before September 22, 2010: $350.00
Registration Fee After September 22, 2010: $375.00

Cancellation Policy: Registrations cancelled before September 22, 2010 will receive a full refund. Due to contractual obligations and costs incurred by PNWA registrations cancelled after September 22, 2010 are not eligible for a refund. Replacements are welcome.

Sponsor Information:


	$300	Meeting Materials
	$300	Break
	$400	Breakfast
	$500	Luncheon
	Other Amount	Enter Amount Here:
	Door Prizes	Yes! My company will provide door prizes for the luncheon on Thursday, October 14, 2010.

Guest/Spouse Information:

As an incentive for PNWA members to bring guests, we offer guests the opportunity to attend our Thursday, October 14 luncheon at the below cost rate of $30.00. Please note that if you check the box below you will be charged $30.00 for the cost of the guest luncheon.

I will be bringing a Guest

	Guest First Name:
	Guest Last Name:

Payment Options:*

	Please bill to my business address
	I would like to use my credit card
	Complimentary registration

If you would like to include a message to PNWA with your registration form, please do so here:

*required field