Wisconsin Chapter 5

Invites you to the

76^th Annual State Convention

Saturday May 15^th through Tuesday May 18^st 2010

The FOX HILLS RESORT 250 W. CHURCH ST MISHICOT WI 54228

Complete one form per registrant.

Photocopy this form for additional registrants.

Registration Form

Nickname:

Full Name:

Title:

Home Address:

City/State: Home phone

Badge City/Zip:

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Mailing Instructions

Please mail this form, along with a check or money order payable to:

NAPUS Chapter 5 Convention

c/o Linda Fredrick

N1694 County Rd K

Watertown WI 53098-3704

Registration Chair:

Pat Schreck

(Postmaster Retired:)

715-276-3363

CONVENTION REGISTRATION

Please check the appropriate box.

	Postmarked Registration Fees
		EARLY BIRD 4/20/10	4/20/10- 5/1/10	5/2 thru On-Site
NEW NAPUS Postmaster & Current NAPUS Postmasters as First Timers to State Convention! *Full Registration		FREE Free must Register before 4/10	$60.00	$68.00
NAPUS Member Postmaster Spouse/Guest *Full Registration		$50.00	$60.00	$68.00
Officer In Charge/Associate Member Spouse or Guest *Full Registration		$60.00	$65.00	$70.00
NAPUS Postmaster Retired Spouse/Guest *Full Registration		$60.00	$65.00	$70.00
Retiree Breakfast Only		$10.00	$13.00	$15.00
Retiree Breakfast & Banquet		$30.00	$43.00	$45.00
BANQUET TICKET ONLY **		$20.00	$30.00	$30.00 Thru MAY 10TH
Business & Training Sessions Only*** Flat rate for One, Two or Three Days				$25.00

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Registration Cancellation Refund Policy

Requests for Convention registration refunds must be made in writing and sent to:

NAPUS Chapter 5 President

Margaret (Peg) Szymanski

W7641 Evergreen

Westfield WI 53964

Requests must be postmarked before

MAY 1, 2009 to receive a full refund. Thank you.

*Full Registration includes:

Saturday Night Auction with Brats, Burgers, Beer & Soda,

Sunday Night Grand Banquet (Music & Dancing (Retirees also have a Special Retiree Breakfast).

Monday District Night (Country Buffet Dinner) Tuesday morning: Hot Breakfast.

** BANQUET Reservations for guests, family members and past scholarship recipients, must be made by MAY 10^TH.

***Business Sessions or Training Sessions (Meals not included)

Room reservations can be made directly with the Convention Hotel by calling 920-755-2376 OR 1-800-950-7615.

Please specify MAY 2010 NAPUS CONVENTION to receive the special room rate. Room rates for the Convention are:

$69.00 Single/Double - plus tax. Deadline on the special room rate is May 1. 2010