NAME(s) as they are to appear on name tags (please print legibly)
- First: ____________________________ Last: _______________________________
- First: ____________________________ Last: _______________________________
- Street: _________________________________________________________________
- City: ________________________________________ State: _____ Zip: ________
-
Email address: _____________________________ Phone: ____ - ____ - ______
** Legible, please **
For registrations post-marked by April 28th
- Reserve |___| places @ $33 for members of |__| FSGW |__| ATDS |__| BFMS |__| CDSS
- Reserve |___| places for non-members @ $38 each
- Reserve |___| places for full-time member student(s) @ $16.50 |__| @ $19 non-member students
For registrations post-marked after April 28th
- Reserve |___| places @ $40 for members of |__| FSGW |__| ATDS |__| BFMS |__| CDSS
- Reserve |___| places for non-members @ $45 each
|__| Desire overnight hospitality — |__| Non-smoking |__| Separate Beds
Allergy (pets, food, other): _____________________________________________________________________
Other special needs: _____________________________________________________________________________
Please submit requests postmarked by April 28thth to facilitate coordination of requests.
I / we can provide overnight hospitality for __________ visitors (please provide your email address, above, to facilitate coordination of this activity).
To register, mail this registration form and a check, payable to FSGW, to:
Roger Broseus 10411 Farnham Drive Bethesda, MD 20814-2219
No registration via email | Pay / Register On-line
Confirmations will be sent via email if provided by registrants, as will updates and other, Ball-related news. Directions to Ball and Practice session here.
<< Please note that the registrar will be away from March 5 and 24; registrations will be acknowledge after his return. >>
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