The League of Women Voters of Alabama
2005 State Convention
Saturday, April 30 - Sunday, May 1, 2005

REGISTRATION FORM

NAME _____________________________________________________________

ADDRESS __________________________________________________________
__________________________________________________________

LOCAL LEAGUE ____________________________________________________

TELEPHONE _______________________________________________________

EMAIL ____________________________________________________________

LOCAL LEAGUE DELEGATE
_____
STATE LEAGUE DELEGATE
_____
GUEST
_____
MEMBER
_____

FULL REGISTRATION (SAT & SUN)
(INCLUDES SATURDAY LUNCH & DINNER)
$65.00 _______

FULL MEETING (WITHOUT MEALS)
$20.00 _______

ONE-DAY REGISTRATION
(SAT. - INCLUDING LUNCH AND DINNER)
$50.00 _______

ONE DAY REGISTRATION
(SAT OR SUN - WITHOUT MEALS)
$10.00 _______

SATURDAY LUNCH ONLY
$17.00 _______

SATURDAY BANQUET ONLY
$27.00 _______

LATE FEE (AFTER APR. 22) ADD $5.00
$5.00 _______


TOTAL ENCLOSED
$ ____________

Please send this form with your check no later than April 22 to

Yvonne Brakefield
3451 Cliff Road South
Birmingham, AL 35205

Note: Yvonne will receive the registration forms and
registration checks for Treasurer Ginnie Bennett.

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