2010 CRAD Annual Conference

Homewood Suites by Hilton

Sioux Falls, SD

Registration Form

NAME:______________________________________________

FACILITY:__________________________________________

ADDRESS:___________________________________________

CITY:____________________ STATE:______ ZIP:________

EMAIL:___________________________ PHONE:__________

______ $75.00 CRAD-MEMBER registration

______ $125.00 NON-CRAD-MEMBER registration

*registration includes lunch on Thursday, September 16, 2010

MAKE CHECKS PAYABLE TO “CRAD”

SEND REGISTRATION FORM TO:

Donna Kiley, CTR
CRAD Treasurer
3809 S. Lisanne Avenue
Sioux Falls, SD 57103
*RECEIPT OF REGISTRATION IS DUE BY
SEPTEMBER 9, 2010 FOR THE THURSDAY LUNCH COUNT.