PRINT THIS FORM. FILL IT OUT.
MAIL TO:
W.N.Y.R.C.N.A. XIII
P.O. BOX 151
BUFFALO, NEW YORK 14207-0151
ATTN: REGISTRATION
NAME:_________________________________________________________________
ADDRESS:____________________________________________________APT.:______
CITY/STATE/ZIP:_______________________________________________________
PHONE:(
)______________________________________________________
E-MAIL:_______________________________________________________________
Weekend Registration Package
Through June 30th $20.00 x _____
= $________
After June 30th until August 31st
$25.00 x _____ = $________
After August 31st $30.00 x _____
= $________
Saturday Night Banquet TBA x _____
= $________
Newcomer Donation $______________
Entertainment TBA
After 8-31-08 (NO PERSONAL CHECKS
ACCEPTED)
Registration
Keith S.
716-930-0232