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					                                     Tennessee ICES Day of Sharing
                                  Join us as we welcome Nick Lodge, Beth Parvu
                                    and our very own Lora Hammond for a day
                                          of sharing all about gum paste

                                                  REGISTRATION FORM
                                                       March 15, 2009
                                                       9 a.m. to 4 p.m.
                                                Registration starts at 8:30 a.m.

                                    Cedars of Lebanon State Park – Assembly Hall
                                        328 Cedar Forest Road, Lebanon, TN
                                                Phone: 615/433-2769


NAME: _____________________________________________________________________________________
ADDRESS: __________________________________________________________________________________
CITY, STATE, ZIP: ____________________________________________________________________________
PHONE: ____________________________________                        FIRST TIMER: YES _____ NO _____
EMAIL: ____________________________________________________________________________________
TN ICES MEMBERS:      EARLY BIRD REGISTRATION:                                                 $25.00
                      (Must be postmarked by February 14, 2009
                      REGULAR REGISTRATION:                                                    $30.00
                      (Postmarked after February 14, 2009)
NON-MEMBER:                                                                                    $30.00
MAKE CHECKS PAYABLE TO:              TN ICES

REGISTRATION DEADLINE:               SATURDAY, March 7, 2009
                                     (Registration after this time cannot be assured a meal)


LODGING – GROUP LODGE:               $25 per evening (Friday and Saturday)
VENDOR REGISTRATION:
The fee for vendor registration during the Day of Sharing is $25. Please complete the following information and
include the fee with your registration.

NAME OF BUSINESS: __________________________________________________________________________
BUSINESS ADDRESS (if different from above):______________________________________________________
CITY, STATE, ZIP: _____________________________________________________________________________
BUSINESS PHONE: ______________________________                                FAX: _____________________________

MAIL REGISTRATION TO:                          Registration Fee:                                        $______________

Janice White                                   Vendor Fee:                                              $______________
1505 Brentwood Terrace
Nashville, TN 37211                            Lodging (# nights ___ x $25 per night):                  $______________
Phone: 615-300-0079
nanna_jan@hotmail.com                          Total Enclosed:                                          $______________