OLDREGPAGE

This is the old registration form info:

Registration for the 2021 Michigan Mini is $25.00 – each addition registration
is $15.00.

Banquet tickets include a dinner at $ 35.00 per person. The
dinner includes the following:

Chicken Alfredo -or- Roasted Pork Loin

with: Salad, Vegetable, Bread/Butter, Light Dessert, Coffee, Tea, Milk.

Hotel information is located on the “Info” page.

To register, fill out this form and submit it on line – then
mail your check to the address below (which is also on the confirmation
page). Make check payable to MARAC/Dorie French (address
is also on the confirmation page). Always include your call sign on your check.

2021 Michigan Mini registration to:

Doris French  N8WRQ

940 W Stewart Rd

                                                       Midland, MI  48640



1 ea 2021 Michigan Mini Registration
25.00

Additional Registrations x $15.00 each
+

Chicken Banquet Tickets x $35.00
each
+

Pork Banquet Tickets x $35.00 each
+
Please Enter Grand Total Here
=
Call Sign:
Address:
City – – :
State--:

Zip Code:
Email –:
 
Name to be printed on Badge
USA-CA and/or MARAC Number for Badge
Guest(s) Names and Numbers for Badge(s)
COMMENTS:



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