Central Iowa Orchid Society
Speaker's Day, July 18th, 2026
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 Patty Graziano, 540 SE Prairie Park Lane, Waukee, IA 50263. We would like these returned by July 4, 2026 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: $__________________ or: Name on Credit Card:_________________________

Credit Card #: _________________________ Exp. Date: MO ____ YR ____ Security code: ______