Name
Name on name tag
FFYR Position/Title
Address
City/State
Zip
Phone
E-mail
Club
Your position in club
Today's date
(e.g., Bob instead of Robert)
(If none put "member")
Note:
(If none put "none" in box)
(If none put "none" in box)
* tax not included
Payment is due by Sept. 1, 2008 by noon--we no longer guarantee that on site payments will be accepted. If you have not registered and paid by Sept. 1, 2008, we may not be able to place a food order, and you may not receive equal service. The FFYR reserves the right to refuse entrance and registration from any non-member of the FFYR. Non-FFYR members such as media, vendors and guests should contact us prior to registering for the event.
Crowne Plaza Hollywood Beach
4000 South Ocean Drive
Hollywood, FL 33019
PHONE: 954-454-4334
TOLL FREE 800-227-6963
Ask for "Florida Federation of Young Republicans" group rate
Hotel Website: www.cphollywoodbeach.com
Full Registration
June 14 - July 15 $49
July 16 - August 3 $59
August 4 - August 17 $69
August 18 - 24 $79
August 25 - Sept 3 $89
Sept 3 - Sept 6 $109
Active Member Online Registrations
Hollywood Beach, Florida
Sept. 5 & 6, 2008
Member Registration Below
Signature:
This signature must be that of the individual "signing" this registration electronically or be made with the full knowledge and permission of the individual, otherwise it constitutes forgery under s.831.06, Florida Statutes. By electronically signing this registration you enter into an agrement with the FFYR and agree with the Terms of Agreement.
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