October 15-16, 2010
Marriott Hotel
Charleston, West Virginia
Click on the printer icon on the left sidebar, print and mail to WVEA.
Name ________________________________________________________
Address _____________________________________________________
County _______________________________________________________
City _________________________________________________________
State ____________________________________
Zip ______________________________________
Phone (H) ________________________________
Phone (W) ________________________________
E-mail ____________________________________
Registration Category:
Member/per person rates
_____$50 double _____$80 single _____$30 commuter
Non-member rate/per person rates
_____ $100 double _____ $150 single _____ $60 commuter
Roommate’s Name: (if applicable) ____________________________________
Make checks payable to WVEA PIC Conference and mail to:
WVEA/PIC, 1558 Quarrier Street, Charleston, WV 25311
For further information contact Kym Randolph at 1.800.642.8261 extension 211 or Anita Maxwell at 1.800.642.8261 extension 116.
REGISTRATION DEADLINE: October 1, 2009