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ANNUAL STATE MEETING <br /> EAL- <br /> I <br /> rS�NR 0� WISCONSIN REAL PROPERTY LISTERS ASSOCIATION <br /> WRPLA SEPTEMBER 15- 17, 2021 <br /> °,,b, ' <br /> ,oSSd s, REGISTRATION FORM <br /> RETURN REGISTRATION AND PAYMENT BY AUGUST 10,2021 <br /> NAME Troy Everson Make your check(s)payable to: <br /> WRPLA <br /> CITY/COUNTY Dane County Send registration and payment(s)to: <br /> ADDRESS 210 Martin Luther King Jr Blvd#116 Ruth Winter <br /> Madison WI 53703 PO Box 279 <br /> Keshena,WI 54135-0279 <br /> MEMBER REGISTRATION(PER PERSON) GUEST REGISTRATION <br /> Name of guest(s) <br /> Includes 3 Breakfasts,2 lunches,all breaks and Thursday Evening Banquet <br /> Wednesday breakfast $10.00 X = $ - <br /> Note-no partial registrations will be accepted $140.00 Wednesday lunch $12.00 X = $ - <br /> Thursday breakfast $10.00 X = $ - <br /> Thursday lunch $12.00 X = $ - <br /> Thursday banquet $24.00 X = $ - <br /> Friday breakfast $10.00 X = $ - <br /> Total member registration $ 140.00 Total guest registration $ - <br /> I will attend Tuesday Dinner <br /> I will attending Golf Outing I will attend the Tuesday Dinner at Carrington Pub&Grill <br /> On Thursday I would prefer the following dinner for the banquet: On Thursday I would prefer the following dinner for the banquet: <br /> Tilapia Tilapia <br /> Roasted Chicken Breast Roasted Chicken Breast <br /> Grilled Pork Cutlet YES Grilled Pork Cutlet <br /> Please indicate here if you have any dietary restrictions Please indicate here if you have any dietary restrictions <br /> Restrictions: No Dairy Please Restrictions: <br />