Skills Demo and Safety Conference
Event Timing: September 10 - 12, 2019
Event Address: Linn County Fairgrounds Complex  3700 Knox Butte Rd E, Albany, OR 97322
Contact us at 541-957-2026 or vjuhalde@co.douglas.or.us
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Primary Contact Email Address *
Multiple participants with the same registration type (e.g. “Participant Registration”, etc.) may be enrolled on one registration form. Separate participant names by a comma on the registration form (e.g. “Participant: Jim Edwards, Mike Evans, Don Smith”)
Number of Participants Your Organization is Registering *
Name *
Organization *
Address *
Contact Telephone
Name(s) to print on name badge (if different than those listed above)
Registration Type *
One day only day attending
Are you purchasing additional banquet dinner(s) for guest(s) of attendee?
Number of guest(s) for banquet dinner (if none, leave blank. Please pay $35 per guest at conference registration)
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