AMBUCS: Convention Registration 2002

MEMBER REGISTRATION: : fee includes Wednesday night reception and food. Awards brunch, President's dinner and general sessions, coffee breaks and Living Endowment program.
Each AMBUCS member must fill out a separate registration form.

Check only One:

TOTAL

BY APRIL 30 - $195.00

MAY 1 - JULY 9 - $225.00

*Anyone wanting to register after July 9 must register on site at a cost of $245

Holiday Inn Select Confirmation #

Member Meeting Room Surcharge (for not staying at the Holiday Inn Select) $150.00

NAME:*

MEMBER ID:

CHAPTER NAME:

PREFERRED BADGE NAME :

MAILING ADDRESS

ADDRESS:

CITY: STATE: ZIP:

DAY PHONE: FAX:

E-MAIL ADDRESS:*
(Mandatory Field)

		QTY @ TOTAL
BIG HAT BREAKFAST (Big Hatters only)		$25.00 $
GOLF OUTING THURSDAY		$80.00 $
PAST NATIONAL PRESIDENT'S DINNER (PNP and their guests only)		$30.00 $

*To register for the William L. White/AmBility Ambassador luncheon see optional tour registration form.

GUEST REGISTRATION:
Fee includes opening night reception and food, Awards brunch, Living Endowment program and President's dinner.

Check only One:

TOTAL

QTY
	BY APRIL 30 - $145.00 MAY 1 - JULY 9 - $175.00

*Anyone wanting to register after July 9 must register on site at a cost of $195

NAME:

BADGE NAME PREFERRED:

NAME:

BADGE NAME PREFERRED:

NAME:

BADGE NAME PREFERRED:

GOLF OUTING THURSDAY @ $80.00

GRAND TOTAL: $

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Select a Card Type:

Card Number: Expiration Date:

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Bank Name: Amount to Charge: $

**Please only click the SUBMIT button ONE TIME

Registration cancellations must be received by June 30, 2002, in order to receive full refund. All cancellations after June 30 and by July 12, 2002, will receive a 50% refund. No refunds are accepted after July 12, 2002. All refunds will be mailed after July 31, 2002. Cancellations must be submitted in writing to:

AMBUCS Resource Center
PO Box 5127
High Point, NC 27262
fax 336-887-8452
email: [email protected]

Please note!

To register for the William L. White/AmBility Ambassador Luncheon or one of the three optional events, you need to do so with Bedore Tours, Inc. Either fill out the Tour Registration form and send it, along with payment to Bedore Tours, call them to register at 1-800-538-8433 or register on-line at www.bedoretours.com . Prepayment is necessary for all activities.

	National Conference Form
2002 AMBUCS National Conference Registration Form Wednesday, July 17 - Saturday, July 20 (If your browser supports JavaScript, dollar totals will be calculated automatically. Otherwise you will need to calculate and enter totals manually)