Active Member Online Registrations

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:

Terms of Agreement

(If none put "none" in box)

(If none put "none" in box)

* tax not included

Payment is due by September 1, 2006 by noon--we no longer accept on site payments. If you have not registered and paid by September 1, 2006 , we cannot place a food order.

Schedule of events

Marriott Tampa Waterside Hotel and Marina

700 South Florida Ave, Tampa, FL, 33602

(813) 221-4900

Reservations for the Event will be made by individual attendees directly with Marriott reservations at

1 (800) 228-9290 or (813) 221-4900

click here for hotel web site

Full Registration

$75 until July 11, 2006

$89 until August 26, 2006

$99 until September 5, 2006

I have read and agree with the

Full Registration $99*Meetings only $20*Other (please use note box)