South Carolina Rural Water Association
2008 Decision Makers' Summit Registration Form
(Please fill out for each attendee.  Make copies as necessary.)

Name _________________________________________________________

_____   Board Member      _____   Manager        _____   Associate Member

System/Company ________________________________________________

Address ________________________________________________________

_______________________________________________________________

City ______________________________ State ___________ Zip __________

Telephone # ____________________________________________________

Fax # __________________________________________________________

E-mail _________________________________________________________

Spouse Name (if registered) ______________________________________________

Print this form, fill it out, include a check payable to SCRWA and mail to:
SCRWA
PO Box 479
Clinton, South Carolina  29325

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