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Air Force Sergeants Association

2000 Division 610 Annual Convention

Registration Form

(For Delegates and Guests)

NAME: __________________ SSAN: ___ - __ - ____ HOME PHONE: ________________

ADDRESS: _____________________ CHAPTER: ______ WORK PHONE: ___________

CITY/STATE/ZIP: ___________________________________ NICKNAME: ___________

STATUS: AFSA Member ___ AD ___ Ret ___ ANG ___ AFRES ___ Prior Service ___

Auxiliary Member ___ Guest ___ Division Officer ___ Chapter Officer ___

(Check all that apply)

 

Before15 Mar 2000

After 15 Mar 2000

Enter Amount

Convention Registration Fee:

$75.00

$80.00

__________

(per person)

     

Separate Admission Prices:

     

Ice Breaker

$10.00

 

__________

Opening Ceremony

$15.00

 

__________

Presidentís Reception and Dinner

$30.00

 

__________

Auxiliary-Sponsored Luncheon

$18.00

 

__________

2000 Honors Banquet and Reception

$35.00

__________

Total: __________

PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO:

AFSA Division 610 2000 Convention Fund

Send completed Registration Form and Check or Money order to:

AFSA Division 610 Convention

PO Box 257

Randolph AFB TX 78148

 

For Questions/Comments, contact Convention Co-Chairs Emilio Serrano (210) 650-4254 or efser@aol.com ,
Tom Nesbit (210) 599-6244 , or Registration Committee Chair, Bob Crawford (210) 566-1216 or
rvctlc@flash.net.