Sweio Convention Registration Form

Monona Terrace Community and Convention Center, February 25, 2005, Madison, Wisconsin

Many SWEIO members are under a district dues deduction plan. If you are not, but would like to attend, please complete this form and send it with the proper remittance to Vicki Stewart at the address below. Fill in the fields below and use the print feature of your browser to print the result. This form is in no way automated and must be printed and mailed.

Vicki Stewart
600 Santa Maria Drive
Arlington, WI, 53911

 

Name:
Home Street Address:
City / State / Zip: / /
School Name / City: /
Number of tickets at $17.00 each = $ Tickets will be $20.00 if not purchased in advance.