WRMCA Annual Technical Workshop - January 30-31, 2025, Kalahari Resort in Wisconsin Dells

REGISTRATION - Please complete a form for each individual.

Please note upon completing registration and clicking done, you will be taken to Survey Monkey who is collecting the registration. This means your registration has been successfully submitted.

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* 1. First & Last Name

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* 2. Company

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* 3. Email

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* 4. Phone

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* 5. Address

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Registration (Please email cschwenn@wirmca.com if you are non-WRMCA producer who would like to attend).

1. WRMCA Member – $200

2. Contractor – $150

3. Student – Free

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* 10. Which payment method? Note: There is a 4% credit card processing fee.

Mail Check to WRMCA, 220 S. Hamilton St., Madison, WI 53703

Credit Card Number

Credit Card Number & Expiration Date

WRMCA Annual Technical Workshop - January 30-31, 2025, Kalahari Resort in Wisconsin Dells

REGISTRATION - Please complete a form for each individual.

Question Title

* 1. First & Last Name

Question Title

* 2. Company

Question Title

* 3. Email

Question Title

* 4. Phone

Question Title

* 5. Address

Question Title

* 6. City

Question Title

* 7. State

Question Title

* 8. Zip Code

Question Title

* 9. Registration (Please email cschwenn@wirmca.com if you are non-WRMCA producer who would like to attend).

Question Title

* 10. Which payment method? Note: There is a 4% credit card processing fee.

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* 11. Do you have any additional questions or comments?