wba agricultural bankers conference registration
WBA Agricultural Bankers Conference
April 8 - 9, 2008
Chula Vista Resort, Wisconsin Dells, WI
$250 per Agricultural Banking Section Member
$275 per Non-Agricultural Banking Section Member
REGISTR
ATION
FORM
*(1) First Name
*Last Name
Nickname (Badge)
*Branch
(If different below)
E-mail
(2) First Name
Last Name
Nickname (Badge)
*Branch
(If different below)
E-mail
(3) First Name
Last Name
Nickname (Badge)
*Branch
(If different below)
E-mail
(4) First Name
Last Name
Nickname (Badge)
*Branch
(If different below)
E-mail
TOTAL REGISTRATION FEE
* Total number of WBA Agricultural Banking Section Member registrants @ $250 each
* Total number of WBA Non Agricultural Banking Section Member registrants @ $275 each
*Total Due to the WBA
$
INSTITUTION INFORMATION
* Institution:
*Institution Address:
* City
*State
* Zip Code
*County
* Phone
*E-mail
In order to receive your confirmation letter, a valid email address or fax number must be provided.
* Required Field
© 2008 Wisconsin Bankers Association.
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wba agricultural bankers conference registration 
