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REGISTRATION FORM

Registration Fee: $30 Includes Luncheon and all Events

Husbands or guests attending luncheon must also pay the $30 Registration Fee

Make checks payable to AFRW

Complete the registration form, enclose check or money order and mail to:

Jonelle Fulmer
5209 Rosewood Circle
Fort Smith, AR  72903-0775 email:  jdsjonelle@aol.com

Registration must be postmarked no later than March 21, 2009.

Name _____________________________________________________________________________

Address ___________________________________________________________________________

City, State, Zip +4 ___________________________________________________________________

Phone_______________________________________ Email _________________________________

Name of Club _______________________________________________________________________

Name of Guest(s) Attending ___________________________________________________

Total Amount Enclosed ________________

Members wishing to spend Friday night in Little Rock Friday are entitled to discount rates at

America's Best Value Inn, 14325 Frontier Drive, Maumelle, AR 72113 (501) 851-3500
$62.95 plus tax for room with 2 double beds ~ includes continental breakfast

Comfort Suites, 14322 Frontier Drive, Maumelle, AR  72113, (501) 851-8444
$84.99 plus tax ($$75.79 plus tax if you have AAA or AARP) full continental breakfast
if we have more than 5 rooms, rate could be $67.00, if manager approves

This form may be copied and distributed to convention attendees. Complete separate Registration Form for each member.

 

CLUB PRESIDENTS

BRING A SILENT AUCTION ITEM WORTH AT LEAST $50 FOR THE AFRW SILENT AUCTION

THIS IS A FUND RAISING EVENT FOR AFRW

A NICE THEME BASKET MEANS LOTS OF $$$$$$$$$$ FOR AFRW