[Arizona-students] Fw: NFBA 2005 Convention Pre Registration Form

[Arielle Silverman]

----- Original Message ----- 
From: "AB7HW Dick Lee Chrisman" <ab7hw at cox.net>
To: "Dick L Chrisman" <dickc at nfbarizona.com>
Sent: Sunday, June 05, 2005 6:31 PM
Subject: NFBA 2005 Convention Pre Registration Form


> Hello To All
> This email contains the NFBA 2005 pre registration form below, the form
> which you can print out and send in for early registration.  Just print 
> out
> this email fill out the form and send it in!
> There is also a attachment to this email with the NFBA 2005 Pre 
> Registration
> form which again can be printed out and sent in.
> If you have any problems please contact me!
> Dick and Scotty the Wonder Guide Dog!
> _____------_____-----
>
>
> NATIONAL FEDERATION OF THE
>
> BLIND OF ARIZONA
>
> 59th Annual Convention
>
> September 9-11, 2005
> PRE-REGISTRATION FORM
> NAME___________________________________________________
> ADDRESS________________________________________________
>
> CITY____________________________STATE_____ZIP_________
>
> PHONE  HOME____________WORK__________CELL_________
>
> EMAIL ADDRESS_________________________________________
>
>
>
> Please indicate the number for EACH item:
>
>                                      Meal prices Subject to Change
> Number     Total $
>
> *Pre-Registration                ($10.00)    _______    $______
>
>    ($20 at the door)
>
> Luncheon-Friday                 ($17.00)    _______    _______
>
> Luncheon-Saturday             ($17.00)    _______    _______
>
> Banquet-Saturday               ($36.00)    _______    _______
>
> Breakfast-Sunday                ($17.00)    _______    _______
>
> Meals & Registration Total                        $ _______
>
> Special meals?   Diabetic___ Vegetarian___
>
> * Registration will be $20 if payment for registration and meals is not
> include with this form
>
>
>
> Pre-Registration cut-off date: Mon.  8/29/05
>
>
> 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
>
> ($70/night) reservations must be made before August 15th.
>
> Crowned Plaza Hotel, 2532 W. Peoria Ave, Phoenix, 602-943-2341
> 
-------------- next part --------------
A non-text attachment was scrubbed...
Name: clip_image002.jpg
Type: image/jpeg
Size: 3017 bytes
Desc: not available
Url : http://www.nfbnet.org/pipermail/arizona-students/attachments/20050607/a8aba822/clip_image002-0001.jpg
-------------- next part --------------
A non-text attachment was scrubbed...
Name: NFBA 2005 registration.doc
Type: application/msword
Size: 32768 bytes
Desc: not available
Url : http://www.nfbnet.org/pipermail/arizona-students/attachments/20050607/a8aba822/NFBA2005registration-0001.doc