First Name Last Name
Name preferred on badge
Address
City State Zip
Parish City of Parish
Home Phone Office Phone
Email Address
Number of Years Attending Conference
    Past President     Keyman

ACCOMODATIONS
I'm making my own reservation at
Please reserve a room for me at DuBose (2 nights) - To be paid for at check-in

Enter a number "1", "2", or "3" to indicate your accomodation preference:
Claiborne Hall (dormitory, with hall bath, and linens, two nights
        Single $76 (+ 5% tax)
        Double $52 (+ 5% tax)
Old Cabins (per bed, two nights, with linens, maximum 14 per cabin - $32 (+ 5% tax)
New Cabins (bunkbeds, two nights, with linens, maximum 24 per cabin - $48 (+ 5% tax)
Motor Home ($25)
Tent Camping ($12)
     I'm staying in a double room at DuBose.
          My roommate will be:
          I don't have a roommate, please assign me one.

CONFERENCE FEES
Registration (includes meals, does NOT include room - Room should be paid for at check-in.)
$ 110 New Attendee
$ 130 Prior to July 1
$ 140 After June 30
$ 150 Day of Registration
$ 10 Discount for Senior (65 and older)

ACTIVITIES (Please Choose One - and please pay for golf and tennis with registration)
Golf Tournament (includes 1 golf cart per 2 players)  $55
    Handicap or average score   Age
    Must be preregistered and paid by July 1 - Choose course:
       Willowbrook (Sewanee closed for renovations)
Tennis Tournament  $5
Fly Fishing
Afternoon Speaker Panel
Choir (I would like to participate in the choir)
Bluegrass Jam
Barbeque Contest
Fun Walk/Run
Mountain Biking
Road Cycling
Skeet Shooting (pay at club)
Hike

Comment (short)

Please click on the "Submit" button below to go to a secure site to pay for Conference and Activity fees.

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