2023 Convention

2023 NWMPA Convention

Fill out the form below, or click the button to download the form to mail in.

Company Name

Address

Address Line 1

City

State

Zip Code

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Phone

Email *

Registration fees include admittance to all convention activities. The Saturday Night Banquet costs are $40.00

extra. In order for names to appear on the advance registration list and name tags, please return this completed

form to association office by March 10th, 2023.

Membership Registration Fee: $110.00 per plant (includes two people and add $55.00 for each additional person).

PLEASE REGISTER THE FOLLOWING FOR NAME TAGS AND CONVENTION REGISTRATION. PLEASE PRINT CLEARLY.

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Name 1st Registrant

Name 2nd Registrant

Name 3rd Registrant

Name 4th Registrant

Name 5th Registrant

Name 6th Registrant

Please select the number of people you are registering.

PLEASE PROVIDE SATURDAY NIGHT BANQUET TICKETS FOR THE FOLLOWING AT $40.00 EACH. CHILDREN UNDER 5 - $20.00 EACH

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Name 1st Attendee

Name 2nd Attendee

Name 3rd Attendee

Name 4th Attendee

Name 5thAttendee

Name 6th Attendee

Name 1st Child Attendee

Name 2nd Child Attendee

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Please select the number of adults attending the banquet

Please select the number of children attending the banquet

Total

$ 0.00