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LFRW 2010 FALL CONFERENCE REGISTRATION

I will be attending the September 17-19th, 2010 Fall Conference and Board Meeting in Sulphur, LA

Name
Club Name
Home Phone
Work Phone
Cell Phone
Email
Please check all that applies
as a LFRW Board Member.
I am a(an)		 Executive Board Member
Club President
Magnolia Club Member
Standing Committee Chair & Name of Committee
Vice Chair of Standing Committee
Special Committee Chair or Vice Chair of Committee
I will be attending the
events checked below
Friday night - Welcome Reception
Saturday - Awards Workshop
Saturday - FAIR Workshop
Saturday - Campaign Workshop
Saturday - Conference Luncheon
Saturday - Magnolia Club Reception (For Magnolia Members ONLY)
Saturday - LFRW Banquet
Sunday - Morning Prayer
Sunday - LFRW Board Meeting
Comments or special needs

Cost of the 2010 Fall Conference and Board Meeting
$ 65.00 for LFRW Members DUE by Sept. 10th
$ 60.00 for MAGNOLIA CLUB MEMBERS DUE by Sept. 10th
$ 75.00 LATE REGISTRATION for ALL Members AFTER Sept. 10th
$ 15.00 Saturday Luncheon cost per additional guest @ of guests =
    Name of Guest(s):
$ 20.00 Saturday Banquet cost per additional guest @ of guests =
    Name of Guest(s):

Total Amount:
Please charge my credit card
I am mailing my check Payable to LFRW to P. O. Box 2102, Mandeville, LA 70470.

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