Name of Attendee: Utility/Firm Name: Position: Cert. #: Mailing Address: Phone Number: E-mail: Name of Spouse (if attending): — Please complete a separate copy of this registration form for each person attending —
	FULL Includes— LTRWC Facility Tour/Lunch Reception/Banquet Sessions—Day Two Best Tasting Water Luncheon Member $150.00 Non-Member $250.00 Spouse $50.00 TOUR ONLY Includes— LTRWC Facility Tour/Lunch Member $50.00 Non-Member $100.00 PARTIAL Reception/Banquet Only $50.00 Day 2 Training Sessions Only $75.00   Total
LODGING INFORMATION Holiday Inn University Plaza Phone: 800.801.1777 Rate: $76 Single/Double Please make check payable to: Kentucky Rural Water Association Post Office Box 1424 Bowling Green, KY 42102-1424 Phone 270.843.2291 FAX 270.796.8623 www.krwa.org