REDSTICK 2000 PMCC CONVENTION REGISTRATION FORM

Name___________________________________ PMCC #_____________

Address____________________________________________________
             
City/State/Zip_____________________________________________

___________________________________________________________ 

Names of guests/family members_____________________________


Registration Fee (Individual $5.00, Family $7.00)__________

Meals: Saturday Evening Banquet ($20.00)         __________

       Sunday Morning Farwell Breakfast ($6.00)  __________

Convention Group Photograph ($12.00)             __________

2000 Convention Cachets (Set of 3 $5.00)         __________
  Please send #10 SASE + $0.55 postage
  if not attending.

Capital City Tour ($20.00)                       __________

Convention T-shirt $10.00 (S-XL) $11.00 (XXL)    __________
 Please specify size. T-shirt order must be
 received by July 8. Please add $3.20 postage
 if not attending.

Red Stick 2000 Booster Dollar Contribution       ___________
 THANK YOU!

                           Total amount enclosed_____________

____Check here to be given names of people interested
    in sharing a room.

Meal and tour prices are per person.  Please make checks payable
to: PMCC Convention Fund.
Send this form to: Jeff Truax
                   32789 Cynthia Dr
                   Denham Springs LA 70706-0906