(Please use this registration form for single registration or multiple registrations from one county)
COUNTY/AGENCY:
Name: Title: ____________________________________
Spouse / Adult Guest (name): _________________________________________________________________
Name: Title: ____________________________________
Spouse / Adult Guest (name): __________________________________________________________________
Address: ___________________________________ City: Zip Code: _________
Telephone: _________________________________
Fax: e-mail: _____________________________________
Registrant fees:
$210 - registrants from ICAA dues-paying county; member of the staff of the Iowa Department of Justice; U.S. Department of Justice; Iowa Department of Public Safety or peace officer.
$220 after June 4, 2001
$315: registrants from non-dues-paying county; prosecutor from another state.
$325 after June 4, 2001
Guest Fees:
$40 for spouse or adult guest (includes morning refreshments and all social events)
$15 for ages thirteen or older (excludes Wednesday Gull Point adult event)
$10 for ages six to twelve
Free for ages five and under
General Information:
! Unless payment for registration is enclosed with this form, you will be sent an invoice.
! Claim vouchers requiring signatures should be enclosed with this registration.
! Please make checks payable to the Iowa County Attorneys Association (ICAA).
! Mail form to:
Iowa County Attorneys Association
215 East 7th Street
Des Moines, Iowa 50319
OR FAX to: 515-281-4313
OR call: 515-281-5428
OR e-mail: pbaker@ag.state.ia.us
