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WyCB 2022 Virtual State Convention Registration Form

* NOTE: At the bottom of this page are links to either go to the Convention Cover Letter Page and WyCB Membership page, or download the MS Word files.

WyCB 2022 Virtual State Convention REGISTRATION FORM
Saturday, September 17, 2022 8:30 AM to 4:30 PM

Name:    _____________________________________
Mailing   Address: ____________________________

City:   ________________    State/Zip: _____________
Phone Number:  _________________________
Email Address: ________________________________

PREFERRED PROGRAM & DOCUMENT FORMAT
LARGE PRINT   ______      BRAILLE    ______    STANDARD    ______
PREFERRED PROGRAM & DOCUMENT DELIVERY METHOD

US Postal Mail    ______    Email    ______
 
Please mark your selections above. The registration fee is $10 per person and covers the convention materials. Mail your completed form along with your check made payable to "WyCB" to:

WyCB
c/o D'Anna Feurt
3701 Harvey Street

Cheyenne, WY 82009

Your registration form and payment would be appreciated by Sept. 3rd in order to ensure all participants receive Zoom link and program documents prior to the convention.
* * *

Go to Convention Cover Letter Page page.
Go to Membership Application Form page.

Download 2022 Convention Cover Letter.
Download Convention Registration Form.
Download Membership Application Form.