(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: _____________________________________
FEES: (See Attendee policy on page 6)
Reduced Rate: $210.00
$220.00 after June 4, 2001
Basic Rate: $315.00
$325.00 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
