RED HAT GETAWAY FOOD AND ACTIVITIES REGISTRATION
Only one Registration Form per person, please.
Please
print a copy of this form and mail it to the Registrar.
NAME _____________________________________________
ADDRESS ___________________________________________
CITY _________________________
STATE _____ZIP _______
E-MAIL ADDRESS ________________TELEPHONE _____________
NAME OF YOUR RED HAT GROUP ___________________________________
CHOICE OF DINNER SAT. NIGHT (CHECK ONE) BAKED STUFFED SHRIMP c SIRLOIN
STEAK c
AMOUNT ENCLOSED ____________($145.00 Before April 1,
2009. $150.00 after April 1, 2009)
PLEASE MAKE CHECKS PAYABLE TO RED HAT GETAWAY AND SEND TO:
Jeanne Lesniak, Registrar, 130 Farragut St. Suite 5, Dracut, MA 01826
PLEASE NOTE:
*Hotel charges are not included in this Registration. You must call the
hotel to make hotel arrangements.
*Since
some things need prepayment, NO REFUNDS for this Registration
can be given for any reason.
*This Registration
must be mailed in at the same time hotel reservations are made.
