Iowa Geothermal Association

Fill out the form below and pay online or Click Here for a form you can print out and mail in.

After filling out the contact information form you will be directed to the IGA store where you can purchase the conference package of your choice.

Each person must register and pay individually!

Registration includes: educational sessions, materials, conference meals & breaks - Does NOT include lodging.

Name: (First) Name: (Last)

Spouse Name (If attending): (First) Spouse Name (If attending): (Last)

Company:

Address: City: State: Zip:

Phone: Fax: E-mail:

State Association Membership in:

Please mark the profession you represent:

Do you currently work with or install Geothermal Systems?

Hotel Information: A block of rooms are being held at the Grand Harbor Resort & Waterpark, Dubuque IA. Cut-off for conference room rate
is March 10, 2010. For reservation call: 866.690.4006. Amenities and services can be found at: www.grandharborresort.com.

Cancellation Policy: If written notice of cancellation is received prior to March 22, 2010 a refund will be given less a $25.00 processing fee.
No refund will be given unless written notice is received prior to March 22, 2010. Retain a copy of this registration for your
files.

Iowa Geothermal Association
5619 NW 86th St. #600
Johnston, IA 50131

PH: 515-224-6469 Toll Free (877)-950-6000

info@iowageothermal.org

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