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Iowa Balloonist Association Continuing Education Seminar
March 8, 2008
DMACC Newton Conference Center
600 North 2nd Ave. W
Newton, Iowa 50208

First Name _______________________ Last Name _________________________

Address ___________________________________________________________

City _____________________________ State ________ Zip _______________

Home Phone ______________________ Work Phone _____________________

Email Address _____________________ Fax # __________________________

Pilot Certificate # ___________________ BFA # __________________________

Balloon ‘N’ Number _________________

Would you like confirmation of your attendance sent to the BFA? Yes ___ No ____

Student ____ Private ____ Commercial _____ Crew ____

Additional Attendee(s) or those joining us for lunch

Name Address City/State/Zip Phone BFA# Pilot Certificate #
________________________________________________________
________________________________________________________
________________________________________________________

Total Amount Enclosed $______________

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Fee Schedule:
Registration Postmarked on or Before February 16, 2008
Pilot $70.00: Crew $40.00

Registration Postmarked After February 16, 2008
Pilot $90.00; Crew $50.00

All non-attendees joining us for lunch
$15.00 per person

(All fees are non-refundable)

Make checks payable to Iowa Balloonist Association and mail with completed application to:
John Jensen
Iowa Balloonist Association Continuing Education Seminar
708 South N Street
Indianola, Iowa 50125

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