DEEP SOUTH REGION CONVENTION
 

Registration Form(front)

 
 
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 - 1212. Phone (255)751-9648.
  
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.

 
  
Registration Form (back) 
  
Please check all that apply:
Regional Board ________ Delegate ________
National Board _________ Alternate _______
NGC Life ______ Member Club Mbr. ______
State President ______ Guest _______
Guest/Spouse name ______________________
 
  

REGISTRATION:

  
*Full Convention (before 2/14/04) $20.00 
*Full Convention (after 2/14/04) $40.00 
Single Day (before 2/14/04) $10.00 
Single Day (after 2/14/04) $20.00 
Spouse or Guest $ 5.00 
   
THURSDA Y , MARCH 4, 2004   
Plantation Tour (First 50) $40.00  
Council Dinner $44.00 
   
FRIDAY, MARCH, 2004  
*Lunch $23.00 
*Dinner $45.00 
   
SATURDAY, MARCH 6, 2004  
*Lunch $23.00 
*Awards Banquet $46.00 
   
PACKAGE PLAN (includes all * items)  
Package Plan (before 2/14/04)$201.00 
Package Plan (after 2/14/04) $221.00 
   
Total amount of check_________ 
   
SPOUSE'S PROGRAM
(please check if interested)
  
_______Golf ________ Old State Capitol  
_______USS Kidd _______Art Museum