Register (Step 1 of 2)
Step 1: Registration Form
All Fields Must Be Filled Out
*First Name
Example: John
Questions? Call 623-236-7222
*Last Name
Example: Doe
*Title
Example: Director
*Affiliation
Example: Arizona Game and Fish Department
*Address
Example: 5000 W. Carefree Highway
*City
Example: Phoenix
*State
Example: AZ
*Zip
Example: 85023
*Telephone
Example: 6027893000
*Email
Example: customerservice@azgfd.gov
Conference
$400.00 ($450.00 After 6/1) Includes 1 Banquet ticket. The conference begins on Saturday, July 07
$450.00
Additional guests for the Banquet:
Additional guests for the Banquet are $60.00 each.
$0.00
*Check the dates you will attend:
7/7
7/8
7/9
7/10
7/11
7/12
7/13
*Will you bring a spouse or other
guests to the WAFWA conference:
Yes
No
Guest: First Name
Last Name
Indicate the number of
participants from your
party for each event
Event/Trip
Sat. 7/7
Sedona Tlequepaque (Shopping). All day with snack included.
Lunch is not provided.
Cost Per Person: $10.00
................................................................................
$0.00
Sun. 7/8
Grand Canyon Trip. All day with lunch and entrance fees included.
Cost Per Person: $40.00
................................................................................
$0.00
Mon. 7/9
Lowell Observatory and Riordan Mansion. Early afternoon return with lunch included.
Cost Per Person: $20.00
................................................................................
$0.00
Tue. 7/10
Historic Walk in Downtown Flagstaff and Museum of Northern Arizona. All day with entrance fees and lunch included at Zane Gray Ball Room.
Cost Per Person: $20.00
................................................................................
$0.00
Wed. 7/11
La Posada Historic Hotel, Garden, and Harvey Girls Tour in Winslow (featuring the Martini Lounge). In the afternoon, visit Walnut Canyon National Monument. All day with entrance fees and lunch included.
Cost Per Person: $40.00
................................................................................
$0.00
Thu. 7/12
Sunset Crater Volcano National Monument and Wupatki National Monument (Pueblos) and Cameron Trading Post (show place for Native American Art). Entrance fees and late lunch at Cameron included.
Cost Per Person: $40.00
................................................................................
$0.00
Total
$450.00
*How will you be paying:
Check
Purchase Order
Credit Card/Paypal
*Please enter the amount to pay by Credit Card/Paypal:
Registration Date: 2/9/2012 3:43:07 AM
