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47th ANNUAL CONFERENCE


Springdale, Holiday Inn August 5-7, 2015


Register Today!


ASSOCIATION OF ARKANSAS COUNTIES 47th Annual Conference - Springdale


PRE-REGISTRATION Received Before 7/30/15


$125.00 $ 80.00 $145.00


officials, employees, guests spouses


non-members


REGISTER ONLINE


www.arcounties.org


ON-SITE REGISTRATION Received After 7/30/15


$145.00 $100.00 $165.00


PLEASE FILL OUT A SEPARATE FORM FOR EACH REGISTRANT. YOU MAY COPY THIS FORM – INCOMPLETE FORMS WILL NOT BE PROCESSED. Return this completed sheet with your registration form if paying by credit card or you may call the AAC office in order to process payment. Credit Card Payment Sheet


Name of Registrant: Payment method (please select one)


American Express


Credit Card Number: Expiration Date:


Cardholder’s Name: (as it appears on card)


Billing Address: City:


Telephone#: Authorized Signature:


COUNTY LINES, SPRING 2015 E-mail: 39 STATE ZIPCODE Visa Master Card CVV# Amount to be charged: Discover


officials, employees, guests spouses


non-members


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