Meeting Registration

Registration Pricing will increase after August 24, 2018. No refunds after August 24, 2018.

50%

First Name*
Last Name*
Title
Company*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone*
Cell Phone
Email*
Receipt Email
Meeting Registration
-
Full Package includes: Wednesday’s Reception, Thursday’s Buffet Breakfast, Coffee Breaks, Luncheon, Seminar and Attendee Roster.
Seminar Only does not include: Wednesday’s Reception, or Thursday’s Buffet Breakfast or Luncheon. These items must be purchased separately.

Golf Information: 12:00pm Shotgun start Tuesday 9/25/18. Includes golf, cart, range balls, and food.
Location: The Club at Newcastle, China Creek Course.
- Full Package
- Seminar Only
- Golf Registration
- Wednesday Reception Only
- Thursday Lunch Only
- Spouse Meals - Not Attending Meetings
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
- I will register now and mail original form with check payable to: PNWARS, 1980 Willamette Falls Dr. #120-282, West Linn, OR 97068
Total
$0.00

First Name: {First Name:16}	Last Name: {Last Name:17}
Title: {Title:2}	Company: {Company:3}
Billing Address: {Address (Street Address):4.1} {Address (Address Line 2):4.2} {Address (City):4.3} {Address (State / Province):4.4} {Address (ZIP / Postal Code):4.5} {Address (Country):4.6}
Cell Phone: {Cell Phone:6}	Work Phone: {Work Phone:5}
Email: {Email:7}	Receipt Email: {Receipt Email:8}
Registration: {-:44}
Total: {Total:32}
{ (I will register now and mail a check payable to: MARS P.O. Box 357 Wayne, IL 60184):28.1}