No Ruz Grotto Hosting the
61st Annual Midwest Grotto Association Convention
October 1 - 4, 2008

REGISTRATION FORM


Name: _____________________________________

Grotto: _____________________________________

Office Held: ________________________________

Phone: _____________________________________

Lady's Name: ______________________________


Address: ___________________________________


City: __________________________________

State: ____________

Zip Code: _________________

   
   ACTIVITY

PRE-
REGISTRATION
COST AT
DOOR

# OF TICKETS

TOTAL
10-01-08    Registration $6.00 $7.00 ________ ________
10-02-08    Early Bird Party FREE FREE ________ ________
10-02-08    Golf Scramble $60.00 N/A ________ ________
10-02-08

   Lunch Only

$10.00 N/A ________ ________
10-02-08    Fellowhip Dinner $10.00 $11.00 see below
10-03-08    Men's Luncheon $7.00 $8.00 ________ ________
10-03-08    Ladies' Luncheon $15.00 N/A ________ ________
10-03-08    President's Banquet $30.00 N/A see below ________
10-03-08    Red Tassel Party $5.00 $6.00 ________ ________

TOTAL:


________

**Please include a phone number so we contact you in case of questions**


President's Banquet
  


____ # Tickets for London Broil

____ # Tickets for White Meat

____ # Tickets for Chicken Cordon Bleu

____ # Tickets for Dark Meat

Make your check payable to "NoRuz Grotto Convention"
Send your registration forms and checks to:
2008 Convention Registration
c/o Lanny Decker
2461 Sweetser
Evansville, IN 47714