CONVENTION COMMITTEE REGISTRATION FORM by keara

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									                 CONVENTION COMMITTEE REGISTRATION FORM
                 90th STATE CONVENTION YARMOUTH, N. S.

              Friday, April 3oth ... Sunday, May 2nd, 2010

(PLEASE PRINT)

NAME______________________________TELEPHONE______________________

ADDRESS______________________________________________________________________

POSTAL CODE_________________

COUNCIL NAME & NUMBER___________________________________________

POSITION HELD:     State Officer_________________

                   State Appointee________________

Chaplain:________      G.K. _______ 2nd Delegate: ______ Guest______

Spouse's Name:_____________ Attending_____ Not Attending______

BAQUENT: Atlantic Salmon_______        Stuffed Chicken Breast_________

Date of arrival _________ Number of nights ________

Registration fee enclosed: $ 105.00 (couple) _________

                                   $ 65.00   (single) _________

Date Council Registration received:_________________________
( To be completed by Chairman)

PLEASE MAKE YOUR OWN HOTEL RESERVATIONS BY MARCH 31st. 2010

Rodd Grand Hotel (742-2446)         $ 115.00 plus tax per night

Rodd Colony Inn       (742-9194)    $ 105.00 plus tax per night.



THANKING YOU.




P.O. Vox 125 Lower West
Pubnico Yarmouth Co., N.S.
BOW-2CO (762-2801)


Harold, Meuse_ Registration Chair

								
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