|
Name: ____________________________________________Phone:( )___________________ Address: ________________________________________________________ City, State, Zip: __________________________________________________ Email: __________________________________________________________ LLBWA Member__________Yes__________No
|
|
List below classes you would like to take Friday night. Please put them in order of preference. do not list ANY classes you are unwilling to take. 1. ____________________________________ 2. ____________________________________ 3. ____________________________________ 4. ____________________________________
List below classes you would like to take on Saturday. Please put them in order of preference. do not list ANY classes you are unwilling to take. 1. ______________________________________ 2. ______________________________________ 3. ______________________________________ 4. ______________________________________ Meal Information: ____ I require a vegetarian meal on Saturday. I would like to be included in the Friday Night Pizza Party
(# of meals) ______ @ $5.00 = $_________ Please make checks payable to LLBWA |
Please send this form, a check for the registration fee made payable to LLBWA, and a self-addressed stamped business size envelope to: Anne Johnson 8381 Vicki Road Rockford, IL 61108 You will receive your class assignments shortly after the deadline therefore checks for classes must be received by February 15, 2008 to ensure your spot in the class. No refunds for classes will be made after March 15, 2008. Spring Fling Registration Checklist ________I have enclosed the registration fee of $40. ________I would like to volunteer to help as needed. ________I have enclosed money for the Friday pizza night pizza party (If desired). ________I have included $10 if not a member of LLBWA or to join, I have included dues of $15. ________The deadline to register is February 15 for first day registration. ________I have included a self address stamped business size envelope
If you have any questions, please contact Anne Johnson at 815-332-9672 or via email at totenhagen@aol.com or contact Bell Perry at 815-332-4087 or via email at arch78@insightbb.com.
|