[Arizona-students] Fw: NFBA 2004 Convention PRE-REGISTRATION FORM

[Arielle Silverman]

----- Original Message ----- 
From: "AB7HW Dick Lee Chrisman" <ab7hw at cox.net>
To: "dick Lee" <dickc at nfbarizona.com>
Sent: Sunday, May 30, 2004 10:29 AM
Subject: NFBA 2004 Convention PRE-REGISTRATION FORM


> NATIONAL FEDERATION OF THE
>
> BLIND OF ARIZONA
>
> 58th Annual Convention
>
> September 9-12, 2004
> PRE-REGISTRATION FORM
>
>
> NAME___________________________________________________
> ADDRESS________________________________________________
>
> CITY____________________________STATE_____ZIP_________
>
> PHONE  HOME____________WORK__________CELL_________
>
> EMAIL ADDRESS_________________________________________
>
>
>
> Please indicate the number for EACH item:
>
>
> Number           Total $
>
> Pre-Registration                    ($10.00)           _______
> $______
>
>     ($15 at the door)
>
> Luncheon-Saturday                ($15.00)           _______
_______
>
> Banquet-Saturday                  ($30.00)           _______
> _______
>
> Breakfast-Sunday                  ($15.00)           _______
> _______
>
> Meals & Registration Total                             $ _______
>
>
>
> Special meals?   Diabetic___ Vegetarian___
>
>
>
> Pre-Registration cut-off date: Mon.  8/30/04
>
>
> Please make checks payable to NFBA and mail this form with your remittance
> to:
>
>
>
> National Federation of the Blind of Arizona
> 255 S. Kyrene Rd. # 125
>
> Chandler, AZ 85226
>
> 480/940-9929
>
> Email: tomobrienaz at hotmail.com (please mention NFBA in subject line)
>
>
>
> To receive the special NFB of Arizona hotel room rate
>
> Reservations must be made by Wednesday August 13, 2003.
>
> Sheraton Tucson Hotel  5151 E. Grant Rd. Tucson, AZ 85712
>
> 520-323-6262
>
>
>
>
>