|
|
|
|
When: Thursday, November 13, 2003 |
Your registration form must be received by: November 7, 2003 |
| Where:
Hotel Fort Des Moines 10th & Walnut Des Moines, Iowa |
Reduced parking rates available at 10th & Walnut with entrance on 10th St. |
| Cost: $50 Seminar & Lunch / $35 Seminar Only / $23 Lunch Only | Full refunds granted prior to November 7, 2003
|
|
Registration Form (Click here for a printer friendly window) |
|
| Name(s): |
|
| Company / Agency: |
|
|
Address: |
|
|
Telephone: |
|
In order to have an accurate count;
please call, fax, or e-mail reservations by
November 7, 2003 to:
Wade E. Sheeler, CPCU, CIC
Phone: 641-269-8565
Fax: 641-236-2838
E-mail: iowacpcu@gmrc.com
______ Seminar & Recognition Luncheon $50
______ Seminar Only $35
______ Luncheon Only $23
Make check payable to:
Iowa Chapter — CPCU
Send check to:
Wade E. Sheeler, CPCU, CIC
Grinnell Mutual Group
4215 Hwy. 146
P.O. Box 790
Grinnell, IA 50112-0790
Registration Form must be received by November 7, 2003