57th annual western regional meeting - rootswebsites.rootsweb.com/~orcar/westernregioncar2016... ·...
TRANSCRIPT
Address: ____________________________________________
City: ____________________________________________ Registration Saturday Banquet
State/Zip: ____________________________________________ Member Senior choose one Nationaleveryone Pool Social President's Confernece
E-Mail: ____________________________________________ attending Party Project Patronmust register (write in
Phone: ( ) any amount)
Name: $10 Bronze
Office/Title $12 - 21 & under $7 $7 $25 Silver
Local Society $15 - over 21 $50 Gold
State First Time Attendee $100 Diamond
C.A.R. member age $100+
Name: $10 Bronze
Office/Title $12 - 21 & under $7 $7 $25 Silver
Local Society $15 - over 21 $50 Gold
State First Time Attendee $100 Diamond
C.A.R. member age $100+
Name: $10 Bronze
Office/Title $12 - 21 & under $7 $7 $25 Silver
Local Society $15 - over 21 $50 Gold
State First Time Attendee $100 Diamond
C.A.R. member age $100+
Name: $10 Bronze
Office/Title $12 - 21 & under $7 $7 $25 Silver
Local Society $15 - over 21 $50 Gold
State First Time Attendee $100 Diamond
C.A.R. member age $100+
Special Dietary Needs: (eg no nuts, diabetic, vegetarian, etc) ______________________________________________________________________________________ Grand Total Make checks payable to: "N.S.C.A.R. Western Region". Full payment must accompany this Registration Form
Hotel room rate: $159 per night. (instructions to receive the discounted rate eg "mention C.A.R.")
$10 - Childrens Meal (10 & under) 2 Chicken strips and fries
$40-Adult Meal Northwest Peach
Huckleberry Chicken
Price includes acces to indoor ultimate package,
pizza/drink lunch
$10 - Childrens Meal (10 & under) 2 Chicken strips and fries
$40-Adult Meal Northwest Peach
Huckleberry Chicken
$10 - Childrens Meal (10 & under) 2 Chicken strips and fries
$40-Adult Meal Northwest Peach
Huckleberry Chicken
$10 - Childrens Meal (10 & under) 2 Chicken strips and fries
$40-Adult Meal Northwest Peach
Huckleberry Chicken
57th Annual Western Regional Meeting
$35 - over 13
$31 - 12 and under
Conference Hotel: Best Western Plus, Coeur d Alene, Idaho 208-664-6600Conference Registration Deadline: postmarked on or before June 10, 2016
Registration Form
Hotel Reservation Deadline: May 24, 2016
Triple Play Family Fun Park
$35 - over 13
$31 - 12 and under
$35 - over 13
June 24-25, 2016
Saturday Afternnon Activity DonationsFriday Evening
Send to: Tanya Gillick, Senior Regional Registrar, 23426 Bristol Way Murrieta, CA 92562, (909)938-2692, [email protected], postmarked on or before June 10, 2016, include late fees after June 11, no refunds after June 20, 2016
Fees for each event increase by $5 afterJune 10th - no refurds after June 20th
Code of Behavior will begin at 4:00 on the first day until Saturday at midnight. Dress Code will apply beginning with the opening session until Saturday at midnight.
$31 - 12 and under
$35 - over 13
TOTAL
$31 - 12 and under