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REGISTRATION FORM 29th PRAIRIE GROUSE TECHNICAL COUNCIL 4-6 October 2011 Hays Kansas Complete Registration Form Name Organization Address City State Zip Code Phone Number E-mail Circle one Regular Received prior to September 1 Student Spouse Banquet only Daily 62/day Please make checks payable to KDWP Do you need an invoice Yes No Attending Field Trip Wednesday Yes No You can also pay with a credit card at the meeting or call Tonya Hoeme 620 672-5911. Form must be returned to us even if...
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