Freedom From Religion Foundation, Inc

2005 - 28th Annual Convention
Rosen Plaza Hotel, Orlando, Florida
Nov. 11-13, 2005


Registration Form

_______ 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

_______ 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
    Check here for fish only
    Check here for chicken only
$___________
_______ 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.