Ninnescah Rural Electric Cooperative, Inc

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2010 Annual Members Meeting Registration

The annual meeting will be Tuesday, March 30, 2010 at the Pratt Municipal Building. Registration and booths will open at 5:00pm. If you are attending, please register by March 22, 2010.

YOUR INFORMATION:

First Name *		Last Name *
Address
City *		State *
Phone		ZIP
E-Mail Address *

METER and/or ACCOUNT IDENTIFICATION:

Account # Meter #

ATTENDANCE INFORMATION:

How many seats do you need to register? *

COMMENTS / SPECIAL INSTRUCTIONS:

CHECK & SUBMIT

Fields marked with an asterisk (*) are required.

You must enter the following numerical code in the box below:

Enter the numbers you see in the text area below.

(620) 672-5538 (Phone) - (620) 672-6852 (Fax)
P.O. Box 967
20112 W. Hwy. 54 - Pratt, KS - 67124-0967

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