Delaware Pest Control Association
57th Annual Short Course
February 15th-16th, 2017
Clayton Hall, University of Delaware
NAME: ______________________________________________________________________


COMPANY NAME:  ____________________________________________________________


ADDRESS: __________________________________________________________________


PHONE: ___________________________  EMAIL: ___________________________________


REGISTRATION:     $400.00                                                           $  ______________________

******INCLUDES 8' TABLE, CONTINENTAL BREAKFAST & LUNCHES
******INCLUDES WORKBOOK ADVERTISEMENT
******8 1/2 X 11 FULL PAGE ADVERTISEMENT MUST BE RECEIVED BY 01/15/2017

ADDITIONAL REP:                                                                           $ ______________________

COFFEE BREAK SPONSORSHIP:                                               $ ______________________

TOTAL ENCLOSED:                                                                         $ ______________________

PLEASE MAKE CHECKS PAYABLE TO DELAWARE PEST CONTROL ASSOCIATION AND MAIL
TO:
P.O. BOX 411
DOVER DE 19903
302-736-2668
****VISA/MASTERCARD PROCESSED ACCEPTED

HOTEL RESERVATIONS:  PLEASE CALL MARRIOTT COURTYARD HOTEL 400 HOLLOWELL
DRIVE, NEWARK DE 19716 302-737-0900 - MENTION DELAWARE PEST CONTROL
ASSOCIATION FOR DISCOUNTED RATE