2001 LWVAL Convention Registration

LWVAL 2001 STATE CONVENTION REGISTRATION FORM
May 5-6, 2001 Tutwiler Hotel, Birmingham, Alabama

"MAKING A DIFFERENCE IN THE 21^st CENTURY"

Please return this form with payment. Type or print ALL REQUESTED INFORMATION.

More conference information available:
on the web site: http://www.lwval.org/convention_regis1.html
or call 205-988-0868.

Date:________________Signature:____________________________________________

Last Name: ____________________________First:______________________________

Preferred First Name:____________________LEAGUE___________________________

Address:________________________________________________________________

City/Zip:________________________________________________________________

Telephone (____) ___________________ Email_________________________________

Please check all that apply:
(____ ) LWVAL Board Member
(____ ) Delegate
(____) Member

SPECIAL NEEDS
Dietary: (____) Diabetic (____) Vegetarian
If you require special accommodation to participate in the meeting, please attach a written description of your needs. Special requests for guest room accommodations must be made directly to the hotel.

Payment (include with registration) Please check:
(__) Full
(__) One Day
( __) # Additional Banquet Tickets

Enclosed is check for $_________payable to League of Women Voters of Alabama. (Go to registration information online to find registration costs and other important information.)

Mail to:
Sarah McDonald
3357 Cherokee Road
Birmingham, Alabama 35223

FOR OFFICE USE ONLY
Date Rec'd._________Amount_________
Full______One Day_______
Addl. Banquet Tickets #_______

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LWVAL 2001 STATE CONVENTION REGISTRATION FORM May 5-6, 2001 Tutwiler Hotel, Birmingham, Alabama "MAKING A DIFFERENCE IN THE 21^st CENTURY"
Please return this form with payment. Type or print ALL REQUESTED INFORMATION. More conference information available: on the web site: http://www.lwval.org/convention_regis1.html or call 205-988-0868. Date:________________Signature:____________________________________________ Last Name: ____________________________First:______________________________ Preferred First Name:____________________LEAGUE___________________________ Address:________________________________________________________________ City/Zip:________________________________________________________________ Telephone (____) ___________________ Email_________________________________ Please check all that apply: (____ ) LWVAL Board Member (____ ) Delegate (____) Member SPECIAL NEEDS Dietary: (____) Diabetic (____) Vegetarian If you require special accommodation to participate in the meeting, please attach a written description of your needs. Special requests for guest room accommodations must be made directly to the hotel. Payment (include with registration) Please check: (__) Full (__) One Day ( __) # Additional Banquet Tickets Enclosed is check for $_________payable to League of Women Voters of Alabama. (Go to registration information online to find registration costs and other important information.)
Mail to: Sarah McDonald 3357 Cherokee Road Birmingham, Alabama 35223	FOR OFFICE USE ONLY Date Rec'd._________Amount_________ Full______One Day_______ Addl. Banquet Tickets #_______
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