BUSINESS AND PROFESSIONAL WOMEN OF TENNESSEE, INC.( BPW / TN)
20 ___ STATE CONVENTION |
June 00, 20 __ |
HEADQUARTERS HOTEL |
Mail registrations to: |
Address |
Registration Chair [ Name ] |
City, TN 00000 |
Address |
Telephone 1-800-555-5555 |
City, TN 00000 |
Phone:( H) 555 / 555-0000 |
Make checks payable to: BPW / TN Convention. |
( O) 555 / 555-1111 |
Please type or print in black or blue ink. |
E-mail: name @ emailservice.??? |
Name: ____________________________________________________ Address: __________________________________________________ City: ____________________________________ State: _____ Zip: ___________
Home Phone ___________________ Office Phone ___________________
Local Organization: __________________________________________ I AM REGISTERING AS:
E-mail: ____________________________________________________ |
____ State Officer |
____ Regional Director |
I am a first-timer to a BPW / TN Convention ____ |
____ District Director |
____ Standing Committee Chair |
Please check the functions you plan to attend: |
|
____ LO President [ 2000-2000 ] |
Before 5 / 00 / 00 |
After 5 / 00 / 00 |
____ LO Presidentʼs Representative |
Registration Fee |
$ 00.00 |
_____ |
$ 00.00 |
____ |
____ Bylaws Chair |
Friday Fun Night |
$ 00.00 |
_____ |
$ 00.00 |
____ |
____ Past State President |
Saturday Luncheon |
$ 00.00 |
_____ |
$ 00.00 |
____ |
____ LO Delegate [ MOL or SOL ] |
Installation Banquet |
$ 00.00 |
_____ |
$ 00.00 |
____ |
____ LO Member [ 1-Day ] |
Total |
$ 00.00 |
_____ |
$ 00.00 |
____ |
____ Parliamentarian ____ Special Committee Chair |
One-Day Registration |
$ 15.00 |
______ |
$ 20.00 ____ |
____ Member-at-Large |
[ Check Friday or Saturday ] Friday( |
) |
Saturday( |
) |
____ Member-at-Large [ 1-Day ] ____ Young Careerist |
Amount Enclosed: $______________$______________ ____ ID Participant
____ Guest One-Day registrants are not eligible to vote in elections or business meetings and may not recei ve packets or other materials.
State Officers, Regional Directors, Standing Committee Chairs Parliamentarian, Immediate Past State President SEND CHECK FOR NON-EXEMPT EVENTS ONLY District Directors- DO NOT SEND REGISTRATION FEE.
Please place an X beside the primary office for which you are registering. Mark all others which apply with a check mark [ √ ].
Dietary Restrictions: If you have dietary restrictions because of health, please describe. __________________________________________________________________________________________
Room Reservations
Headquarters Hotel A block of rooms has been reserved for BPW at the Headquarters Hotel for June 0-00, 2000. Cut-off date for reservations is May 00, 2000. The rate for rooms reserved prior to May 00 is $ 00.00 plus 00.00 % tax for single or double occupancy. Room requests after the cut-off date are subject to availability, and rates higher than the group rate may apply.
For reservations please call the Headquarters Hotel in-house reservation office direct from 8:00 am- 5:00 pm, Monday through Friday at 1-800-555-5555, and identify yourself as a member of the Business and Professional Women of Tennessee.
All reservation requests must be accompanied by the first nightʼs deposit via major credit card or check. The deposit is refundable up to 48 hours prior to check-in time. [ Sample only. Deadlines, refund policy, etc., will be determined by the hotel policies and the contract with BPW / TN.]
73 August 2010