Bed Bug Conference Registration

Please fill out the form below to attend one or more conferences.

Dates / Locations

June 13th, 2012: St. Cloud

Cost: Early Bird $39 / Regular $49

June 27th, 2012: Mankato

Cost: Early Bird $39 / Regular $49

July 11th, 2012: Rochester

Cost: Early Bird $39 / Regular $49

July 25th, 2012: Duluth

Cost: Early Bird $39 / Regular $49

September 12th, 2012: Brainerd

Cost: Early Bird $39 / Regular $49

September 26th, 2012: Twin Cities

Cost: Early Bird $49 / Regular $59

October 10th, 2012:
"Train the Trainer"
held in the Twin Cities

Cost: Early Bird $29 / Regular $39

 

Name *
Title
Company *
Mailing Address *
City, State, Zip *
Email *
Phone Number *
Fax
Select category of business that applies to you *
 Multi-Housing
 Hospitality
 Healthcare
 Other
Which Conferences are you attending? *
 6/13 St. Cloud
 6/27 Mankato
 7/11 Rochester
 7/25 Duluth
 9/12 Brainerd
 9/26 Twin Cities-Main Conference
 10/10 Twin Cities-Train the Trainer
Type of Payment (we will be contacting you for your payment) *
 Credit Card
 Cash/Check
 Invoice
 PO#
Please tell us how you heard about our conferences
Tracking Code (if you have one)
Any additional comments
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