SOUTH WEST DISTRICT ANNUAL MEETING
REGISTRATION FORM

ATTENTION PRESIDENTS:  Please make copies of this form and distribute
to your members so that they can register for the October Annual Meeting.

Please return your reservations with a check for $18.00 PER PERSON made payable to/ and send to:
      Kelly Rode
       710 N. Wilson Ave
       Princeton IN, 47670-3130

REGISTRATION DEADLINE: October 5, 2008

NAME:   

ADDRESS:       CITY:

CLUB NAME:        PHONE:

NUMBER OF RESERVATIONS:            AMOUNT TOTAL: 

NAME OF CLUB MEMBER FOR MEMORIAL SERVICE: 

EXHIBIT SPACE:  YES     NO
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