Air & Waste Management Association - Golden Empire Chapter

EVENT REGISTRATION FORM

Event: (Please Check the Event you wish to register for.)
NOTE: You may REGISTER FOR ONLY ONE EVENT AT A TIME!

	February Chapter Meeting - Wednesday, February 15, 2012 Location: The Petroleum Club, 5060 California Ave., 12th Floor, Bakersfield, CA Cost: National Members: $20/person OR Chapter Members/Guests/Public: $25/person Program: Models: Balancing Science With Reality!
	March Chapter Meeting - Wednesday, March 21, 2012 Location: The Petroleum Club, 5060 California Ave., 12th Floor, Bakersfield, CA Cost: National Members: $20/person OR Chapter Members/Guests/Public: $25/person Program: TO BE ANNOUNCED

ALL MEETINGS AND PROGRAMS ARE OPEN TO THE PUBLIC

PLEASE COMPLETE THIS SECTION:

	You	Guest 1	Guest 2
*Name:
*Company:
Address:
City, State, Zip:
Phone:
*Email:

* REQUIRED FIELDS

To qualify for the National Member price you must provide your National A&WMA Membership Number.
National Member?

	YES	NO
YOU
Membership No.
Guest 1
Membership No.
Guest 2
Membership No.

- Most events are "Pay-at-the-Door" -
Advanced payment is not required unless otherwise noted.
Payment must be made by CASH or CHECK at the door!

***IF YOU HAVE ANY RSVP PROBLEMS PLEASE CALL MARK PISHINSKY OR DOUG SHAFFER
AT 661-617-8939 OR 661-282-2200***

No Show Policy: As we must guarantee attendance to the facility and food orders 24 hours in advance, no-shows may be billed for the event unless 24 hour notice is given. Cancellations must be received by email at our general email address (info@awma-goldenempire.org) at least 24 hours before the event. However, alternates may be substituted.