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| Street Address: |
Chapter: |
| City, State Zip: |
| Phone: |
E-mail: |
| 1-Name for badge: |
| | 2-Name for badge: |
| | | 3-Name for badge: |
| | | | 4-Name for badge: |
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Day | Event |
# x | Price |
= Total |
| __ | __ | __ | __ |
Thu | Registration (if postmarked by April 17) | ___ | $35 | $______ |
| __ | __ | __ | __ |
Thu | Registration (if postmarked after April 17) | ___ | $45 | $______ |
| __ | __ | __ | __ |
Fri | Tour A - Summit Mountain Gardens (with lunch)* | ___ | $35 | $______ |
| __ | __ | __ | __ |
Fri | Alternate Tour - Tennessee River Cruise (with lunch) | ___ | $20 | $______ |
| __ | __ | __ | __ |
Sat | Tour B - Valley Gardens (with lunch)* | ___ | $35 | $______ |
| __ | __ | __ | __ |
Sat | Alternate Tour - Tennessee Aquarium (lunch on your own)) | ___ | $20 | $______ |
| __ | __ | __ | __ |
Sat | Banquet* | ___ | $35 | $______ |
| __ | __ | __ | __ |
Sat | Wine with Banquet ($3 per glass) | ___ | $3 | $______ |
| __ | __ | __ | __ |
Sun | Propagation round-table | ___ | - | - |
| __ | __ | __ | __ |
| ASA membership dues (1 or 2 persons in a household) | ___ | $25 | $______ |
| Amount enclosed, in US dollars = Total | $______ |
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The convention is open to all, members of the ASA or not. Non-members who wish to join for $25 will receive a welcome packet including the most recent issue of The Azalean, and will have their membership extended through 2004.
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| 1 Please print your information clearly. It only counts if we can read it. |
| 2 Mark an X (*or a V to request vegetarian meals) in the column below each person's number, one line for each event they wish. |
3 For each line:
- write the total number of marks under the # heading, and
- multiply that number by the Price per person and write the result in the Total column.
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| 4 Add up the Total column and write that result on the bottom Total line. |
5 Make your check for that Total amount payable to Azalea Society and mail it with your form to
Denise Stelloh, ASA Convention Registrar 65 Sierra Drive Hendersonville NC 28739 |