WFOP 2009 Fall Conference Registration
Registration postmark deadline: November 2, 2009

Name
Address
City State Zip
Telephone
 E-mail
I need table space for my books:  __Yes    __No
I would be willing to donate books for door prizes (attach list of titles and #):  __Yes    __No
Postmarked by November 2, 2009
$60 Members and family ____________
$85 Non-members
(includes membership)		 ____________
Late or Walk-In
$65 Members ____________
$90 Non-members
(includes membership)		 ____________
Total $ ____________
Lodging:
Fri night room $79 ____________ # of beds?
(one or two)		 ____________
Sat night room $79 ____________ # of beds?
(one or two)		 ____________
(handicap-accessible rooms and smoking rooms available on request)

This is my first conference:  __Yes    __No I am a WFOP member:  __Yes    __No           If not, you may join:  form

Print and fill out form and make checks payable to WFOP and mail to:

WFOP Conference Coordinator
Michael Kriesel
H16550 State Hwy 52
Aniwa, WI 54408-9618
THIS FORM IS PRINTABLE