2010 UMECRA Convention
January 22, 2010
Olympia Resort and Spa
Oconomowoc, WI
Name/s: ______________________________________________
_____________________________________________________
Please list all names of people in your family attending.
Address: _____________________________________________
Phone: _______________________________________________
e-mail: ______________________________________________
Convention Fees:
Number Total
______ Convention Fee @ $20.00 _________
(All convention attendees must pay)
______ Adult Banquet @ $31.20 _________
______ Pizza Buffet @ $14.95 _________
(For 16 and under only)
Total Due: _________
Please make checks payable to UMECRA. Return this registration form along with your check to Elinore Tonsor, 3566 E. Fitzsimmons Rd., Oak Creek, WI 53154. Room reservations must be made separately by contacting the Olympia Resort and Spa at 1-800-558-9573. Tell them you’re with UMECRA to get the discounted room rate.