Freedom From Religion Foundation, Inc2005 - 28th Annual Convention
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Registration Form |
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| _______ | FFRF Member registration(s): $50.00 per person | $___________ |
| _______ | Non-Member spouse or person accompanying member: $55.00 per person | $___________ |
| _______ | Non-Member registration(s): $75.00 per person | $___________ |
| _______ | Student registration(s): $25.00 per person | $___________ |
Saturday Meals |
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| _______ | Saturday Non-Prayer Breakfast (Quiche Lorraine): $25.00 per person | $___________ |
| _______ | Vegetarian Saturday Non-Prayer Breakfast (Tomato/Mushroom Quiche): $25.00 per person | $___________ |
| _______ | Saturday Night Dinner (Fresh Florida Grouper/Chicken Macadamia Duet): $45.00 per person
Includes both fish & chicken unless you specify otherwise |
$___________ |
| _______ | Vegetarian Saturday Night Dinner (Pasta Primavera): $45.00 per person | $___________ |
| Total enclosed: | $___________ |
Make check payable to "FFRF, Inc." All food prices include tax and gratuity.
Please print and mail this form with your check, money order or credit card information to:
FFRF, Inc.
Attn: Convention
PO Box 750
Madison WI 53701
Name(s) Please include names of all registrants for nametags
Address
City/State/Zip Phone/Email (in case we have a question about your registration)
Payment Method
_______ Check or M.O.
_______ Credit Card (Visa/MasterCard only)
Credit Card #
Expiration (MM/YY) ![]()
FFRF protects your confidentiality and will not divulge, sell, or give away its mailing list. Email and phone are requested for in-house convenience only.