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Complete this form (both sides), make check payable to Deep South Convention - 2004. Mail Check and form to Convention Registration Chairman, Mrs. Jeanette Gatzman, 4912 Angleton Court, Baton Rouge, LA 70817
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| Name(as
it is to appear on badge) ________________________________________________________ Street
Address_____________________________________________Phone __________________________
City____________________________________________State
______________ Zip______________
Make hotel reservations directly with the
Sheraton Baton Rouge Convention Center Hotel, 102 France Street, Baton Rouge,
Louisiana 70802. Phone (225) 242-2600. Specify Deep South Region Convention for
special room rates of $90.00 double beds or traditional king - one or two people
per room. Check-in time: 3:00 pm - Check-out time: 12:00 noon.
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| Registration
Form (back) |
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Please
check all that apply:
Regional Board ________ Delegate ________
National
Board _________ Alternate _______
NGC Life ______ Member Club Mbr. ______
State
President ______ Guest _______
Guest/Spouse name ______________________ |
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REGISTRATION:
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| *Full
Convention (before 2/14/04) |
$20.00 |
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| *Full
Convention (after 2/14/04) |
$40.00 |
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| Single
Day (before 2/14/04) |
$10.00 |
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| Single
Day (after 2/14/04) |
$20.00 |
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| Spouse
or Guest |
$ 5.00 |
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| THURSDA
Y , MARCH 4, 2004 |
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| Plantation
Tour (First 50) |
$40.00 |
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| Council
Dinner |
$44.00 |
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| FRIDAY,
MARCH, 2004 |
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| *Lunch
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$23.00 |
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| *Dinner
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$45.00 |
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| SATURDAY,
MARCH 6, 2004 |
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| *Lunch
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$23.00 |
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| *Awards
Banquet |
$46.00 |
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| PACKAGE
PLAN (includes all * items) |
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| Package
Plan (before 2/14/04) |
$201.00 |
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| Package
Plan (after 2/14/04) |
$221.00 |
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| Total
amount of check |
_________ |
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SPOUSE'S
PROGRAM
(please check if interested)
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| _______Golf
________ Old State Capitol |
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_______USS
Kidd _______Art Museum
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