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Please check this box if this is your first convention Please check this box if you are interested in being in a district choir?
You will be entered in a raffle for a desktop scanner - $400 Value Eligible if payment is received before 9/15/14
PLEASE MAKE CHECK PAYABLE TO: WRJ ATLANTIC DISTRICT Complete both pages of the registration form and mail no later than October 9, 2014
WRJ Atlantic District 2014 Convention Refund Policy Refund requests for full event registration or partial event registration, less a $50 processing fee, will be honored if request is received at least 7 business days prior to the event start date. There will be no refunds given for cancellation requests received after the cut-off date but registration may be transferred to another person who has not yet registered. Refunds will only be honored if received in writing (email is acceptable). No refund request may be made by telephone. Request should be directed to the event registrar semirbach@gmail.com. Refunds will be sent after the convention concludes. WRJ Atlantic Photo & Information Release I understand that photographs and electronic images of me may be taken during the convention and that a list of convention attendees names, sisterhoods and contact information (including but not limited to: phone number, email address, etc.) will be shared with convention participants. Images may also be used in projected or printed format, or shared electronically. I agree to the above and sign this release:
Name: _______________________________________
(print)
Date: __________________
Name:_________________________________________ (signature) Complete both pages of registration form by October 9, 2014. Make checks payable to WRJ Atlantic District Send to: Ellen Mirbach, 3308 Sherwood Lane, Dresher, PA 19025 Copy this registration form for your personal records. CONVENTION PROGRAM DETAILS WILL BE EMAILED