REGISTRATION FORM Sample

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Registration Form. 2013 Biennial REDHORSE Association. Convention and Reunion. September 22-26, 2013. Holiday Inn University Plaza. 1021 Wilkinson ...
September 22-26, 2013

RED HORSE ASSOCIATION REUNION Bowling Green, KY

• RH/PB Updates • Golf Tournament (Course adjacent to Hotel) • Tour of Corvette Plant • Activities for Spouses • Renew old Friendships/ Make New Ones • For all RH/PB past or present members Applications for reunion are attached, also find on RED HORSE Website by April 30th. For Room Reservations: Call Holiday Inn at University Plaza: Phone: (270)745-0088, ext.1032 and ask to register for RED HORSE Reunion (code RHO) Questions: Call Greg MacDougal (912) 321-8430 or e-mail: [email protected] or Charlie Hogan (270) 749-5461, or e-mail: [email protected]

Registration Form 2013 Biennial REDHORSE Association Convention and Reunion September 22-26, 2013 Holiday Inn University Plaza 1021 Wilkinson Trace Bowling Green, KY 42103 (270) 393-8669 www.HIBowlingGreen.com Make your own Hotel Reservations by contacting the Holiday Inn University Plaza directly at (270) 393-8669. Our special room rates are $99.00 per night. (Regular rates are $125.00 per night). Each registered room occupant receives a breakfast coupon. Be sure to mention our code: REDHORSE Association to receive the special rate. Full Name: _______________________________________________ (First name for badge) ____________________________ Unit Organization: ________________________________________________________________________________________ Preferred Mailing Address: __________________________________________________________________________________ City: ________________________________ State/Province: ______________________ Zip/Postal Code: _________________ Country: _____________________________ Telephone: (______) __________________ Fax: (______) ____________________ Email: __________________________________________________________________________________________________

CONFERENCE FEES 1. Registration Fees: Includes reception, snacks, Non-alcoholic drinks, coffee, tea through convention and other obligated essentials. Registration fees are per person (member and guest, no exceptions). PLEASE CHECK APPROPRIATE REGISTRATION FEE:

RHA Current Member Nonmember, Spouse or Guest Active, Res, & ANG service members

BEFORE/ON

POSTMARKED & PAID AFTER AUGUST 8

AUGUST 8 2013

 $20.00  $30.00  $10.00

2013

 $30.00  $40.00  $15.00 $ ____________

2.

Guest Banquet (Wednesday Night) Indicate number of guests: _____

total number x $35 = $ ____________ (All you can eat buffet includes: Grilled Chicken, baked orange roughy, beef tips w/bourbon garlic glaze, with all appropriate accompaniments, fresh bread service, chef’s dessert display, iced tea, coffee.)

Print full name of guest(s):____________________________________________________________________________ 3.

Payment of 2013 RHA Membership Dues: Regular Renewal Dues $20 Active Duty, RES, ANG service members $10

$ ____________ TOTAL ENCLOSED:

$ __________

Please list any Special Needs: ____________________________________________________________________________________________ Cancellations/Changes and Refunds: Fees will be refunded, less a $10.00 processing fee, if cancellation or change resulting in a refund is received in writing no later than September 8, 2013. After that date, fees are non-refundable. All refunds will be processed after the conference. If you would like to make regular monthly payments until balance is paid in full contact Paul Sattler RHA Treasurer at address listed below for authorization.

PAYMENT METHOD Check or Money Order must be in U.S. funds payable to: REDHORSE Association. Registration confirmation/receipt and further information will be mailed.

Please check appropriate box:  Check

 Money Order

Send this completed registration form with payment to: REDHORSE Association, P O Box 8, Westminster CO 80036-0008

www.rhassn.us