Central Iowa Orchid Society
Speaker's Day, July 22, 2023
Registration Form

To help us plan for Speaker's Day, we encourage you to fill out this registration form and return it to: Central Iowa Orchid Society, c/o Chris Barck, 16402 J Ave., Perry, IA 50220. We would like these returned by July 7, 2023 if possible.

Please make checks payable to the Central Iowa Orchid Society.

$30.00 per person ($35.00 at the door).

Name:_______________________________________Telephone:_____________________

Address:_____________________________________City:___________________________

State:____________________________________Zip Code:_________________________

Number of people attending: _____________ Email:_______________________________

Amount Enclosed: __________________