Springforth Ball 2002 Registration
Form
Please print and complete a separate form for each person.
| Name: | ||
| Name on Button: | ||
| Address: | ||
| City: | State: | Zip: |
| Phone: ( ) | ||
| E-mail: | ||
| Gender: | | Female | | Male | ||
| Saturday Lunch: | | Chicken salad | | Tuna Salad | | Vegetarian | ||
| | Please DO NOT include my name in the published weekend attendee list | ||
| I | | need | | can provide housing for | | # of people for | | Friday | | Saturday | ||
| FULL REGISTRATION |
write
amount below
|
|
| $50 | ||
| $55 full registration after March 1, 2002 | ||
| $ 6 Saturday Lunch | ||
| $ 7 Saturday Dinner (if not bringing a dish) | ||
| PARTIAL REGISTRATION | ||
| $15 Friday Dance | ||
| $20 Saturday Dance | ||
| Workshops $6 each | ||
| $ 6 Saturday Lunch | ||
| $ 7 Saturday Dinner (if not bringing a dish) | ||
| $15 Sunday Brunch and Dance | ||
|
TOTAL ENCLOSED:
|
||
Mail this form along with
a check made out to TADAMS to:
Deborah
Nelson
6104 Salem Oaks Court
Richmond, VA 23237
Confirmation will be via
e-mail if an e-mail address is provided. If you do
not have e-mail or prefer a hard copy confirmation, include a legal-sized self
addresed stamped envelope.