2010 ANNUAL CONFERENCE

SOUTH LAKE TAHOE, CALIFORNIA 

Embassy Suites Lake Tahoe

October 5-October 8, 2010

CONFERENCE REGISTRATION FORM

Complete the form below to register for the 2010 CROA Annual Conference.

County/City

County/City Name                                                                                                                                                              

Department Name                                                                                                                                                             

Address                                                                                                                                                                            

City, State, Zip                                                                                                                                                                  

Phone  (      )                                                              Fax  (     )                                                                 

E-mail address for primary contact                                                                                                                                      

Attendees (use reverse side of this form if more space is needed)

Name                                                                Title                                             E-mail                                                

Name                                                                Title                                             E-mail                                                

Name                                                                Title                                             E-mail                                                

Name                                                                Title                                             E-mail                                                

Prices

         Full Conference - CROA members (registering before 09/1/2010) $    235.00   X       = $      

         Full Conference - CROA members (registering after 09/1/2010)    $    250.00   X       = $     

         Full Conference - non-members                                                 $    335.00   X       = $     

         One Day Conference Attendance - October 6, 2010                      $    125.00   X       = $     

         One Day Conference Attendance - October 7, 2010                      $    125.00   X       = $     

                                                                Total enclosed                    $      

Return conference registration form and payment to:         CROA Annual Conference

                                                                                                c/o Linn Smith, Revenue & Recovery

                                                                                                County of San Joaquin

                                                                                                350 E. Weber Avenue, Stockton, CA 95202

S                                                                                                Phone (209) 468-2111     Fax (209) 468-9353   

*Please note:  Requests for refunds must be received by September 7, 2010.  A full refund will be issued if request is made at least four weeks prior to conference.  No refunds will be issued after that date.