MEMBER REGISTRATION FORM
WESTERN REGIONAL BOILER ASSOCIATION
ESTABLISHED 1960
W.R.B.A. HOME 
44th ANNUAL CONFERENCE
March 13-15, 2012 Spokane, Washington

REGISTRATION FORM-ELIGIBLE MEMBERS ONLY
Note: if you are a vendor, STOP! You CANNOT REGISTER AS A MEMBER as per our bylaws.
Please see Vendor Info/Registration to participate in our conference.

Please include a separate registration form for each attendee….and PLEASE PRINT LEGIBLY!

Multiple registrations may be sent in one envelope CLICK HERE FOR ONLINE REGISTRATION FORM
 

Company Name ________________________________________________________

 

Attendee Name:  __________________________________________________________________

 

Job Title: __________________________________________________________________________

 

Will you be attending the Tour at Rathdrum Power? ______________________________________

 

Will you be attending WRBA dinners? ______________Guest (spouse or companion)? __________

 

Topic or question you would like to have addressed during the open meeting session (use the back if you need more room):

__________________________________________________________________________________

__________________________________________________________________________________

 

Name and address of others who may be interested in WRBA information:

 __________________________________________________________________________________

 __________________________________________________________________________________

Please remember to include your registration fee: $150.00 per person and make check payable to WESTERN REGIONAL BOILER ASSOCIATION. 

 

Send all responses no later than March 1, 2012  to:

John Boyd   2004 Maddock Road, Port Angeles, WA. 98362