MSMA Iowa Meeting Registration


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MSMA Iowa Meeting Registration & Membership Form

Where:	When:	Cost:
Prairie Meadows Racetrack and Casino Salon Rooms 2 and 3 1 Prairie Meadows Drive Altoona, IA 50009	Tuesday, December 9, 2008 11:00 a.m. to 1:00 p.m. (lunch provided)	$10 for MSMA members $25 for Non-MSMA

You may now register and pay for a luncheon meeting or become a member of MSMA Iowa using our online registration and payment system! It's quick & easy! Please select your options below.

For more information contact Vivian Hayashi at 515-245-2073 or email.

Registration for this Luncheon Meeting must be received prior to event.

Meeting/Luncheon for Members

Meeting/Luncheon for Non-Members

Member Price $10

	Please Enter Your Information
Name:
Company:
Address:
City/State/Zip:
Phone:
Email:

Non-Members $25

	Please Enter Your Information
Name:
Company:
Address:
City/State/Zip:
Phone:
Email:

Not a Member of MSMA Iowa? Sign Up for Membership Now!

Single Membership $75

	Please Enter Your Information
Name:
Company:
Address:
City/State/Zip:
Phone:
Email:

Corporate Membership (3) $175 (Add'l $55 each.)
If more than 5 members, please contact MSMA Iowa.


	Please Enter Your Information
Name:
Company:
Address:
City/State/Zip:
Phone:
Email:
Name 2:
Name 3:
Name 4:
Name 5:

For more information contact Vivian Hayashi at 515-245-2073 or email.