Oregon Professional Electronics Association’s

52nd Western Regional Electronics Convention
March 8-11, 2012

Hood River Inn
1108 E Marina Way, Hood River, OR 97031
Please Contact the Hotel Directly for Accommodations 1-800-828-7873

Standard Room....$82.50+tax       Reservations must be made by
      River View Room..$97.50+tax       Feb. 12 to qualify for these rates

NON-OPEA MEMBER Registration Form

 

Company Name: ________________________________________________________

(Mail)

Address/City/ST/Zip: __________________________________________________

 

Phone: ________________ Fax: _________________ Email: _________________

 

Full 3 day Registration           Register by    Register    

includes Sponsored meals & events   Feb. 28th     after 2/28  

                      Non-Members*   $ 240*         $ 245*          

                       Second Person  $ 235          $ 240         

 

DAILY Registration:                                    

Seminars (includes Sponsored Meals & Coffee Breaks)  $120/person/day

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OPEA/NESDA/ISCET Members, contact us for your registration fees

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Print Names &(owner, tech, etc)  Badge name     Full,T,F,or Sat   Amt

------------------              ---------         -------        -----

 

______________________________  ________________  ________    _________

 

______________________________  ________________  ________    _________

 

______________________________  ________________  ________    _________

 

Checks payable to: OPEA  VISA[  ]    Master Card[  ]    Discover Card[  ]  Amer Express[  ]   

 

Name:______________________ Card#____________________________ Exp_____

 

signature______________________________________________Total $_________

Mail checks to:OPEA                    pay by Bank Card, Fax form to:

4717 NE Ainsworth, Portland, OR 97218                    (503) 284-4279

 Voice-Mail/Fax 503-284-4279   email: wrcon2012@gmail.com

 Web Page: www.opea.info                   Web form rev 1/5/12 subject to change without notice

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Copyright © Lee Jeffery 2002-2012