Please answer all questions and then return the Registration Form to Sandy Coelho at sjcoelho@aol.com or fax 508-393-6016

NAME: ___________________________________________

CONVENTION: _______________________________________

Spouse &/or travel companion names:

1.

2.

I will be flying to the May Meeting

The Date I will be arriving ______________________

The Airline I will be flying is _______________ Flight # ______________ Arrival Time __________        ___ AM     ___PM

The Date I will be leaving ______________________

I will be attending the Banquet (Wed May 13th )         NO ______    YES _______ How Many? ___________

I am unable to  attend the May Meeting ____________

508-393-6013 x234 or sjcoelho@aol.com