Convention Registration

Name ___________________________________________________________________________________ Club Name _____________________________​_________________________________________________ Address _________________________________________________________________________________ City, State, Zip____________________________________________________________________________ Home Phone ________________________________ Cell Phone _______________________________ Email Address____________________________________________________________________________

Meal Registration

(All meals will be catered.)

____ Lunch, April 12, $14.00

____ Dinner, April 12, $15.00

____ Banquet, April 13, $35.00

Food Allergies______________________________

Demo Registration

Tuesday, April 12

($3.00 each, $12.00 for four or more)

____ 9:15 a.m. Ellen Wilson-Pruitt ____ 10:30 a.m. Idabelle Byer

____ 1:00 p.m. Nancy Bergman

____ 2:15 p.m. Amy Carroll

____ 3:30 p.m. Laura Avery

____ 4:45 p.m. Lyn Conrad

Total Enclosed $ __________________________ Merchant Donation

Paint-In Registration

($35.00, limited to first 15 who sign up) Tuesday, April 12, 6:30 p.m. ____ Nancy Bergman

____ Molly Hammond

Wednesday, April 13, 9:00 a.m. ____ Bertie David

____ Cindy Wiltermood

Merchant Name __________________________________________________________________________