Mail-in Registration Form       AAII  Eastern Michigan Chapter

       Advance  Registration for     >  >  >



Name___________________________


Address_________________________


_________________________


City________________________


State____      Zip Code_______


Email  
______________________________



AAII Member Number (optional):

___________________________



NO REFUNDS:
In case of cancellation, advance
registrants will attend the next
presentation free.

Presentation Speaker    /     Date


____________________________________

[
Please fill in the above line ]


Mail to: Joan Ritter
990 Davis Ave.
Birmingham, MI 48009


*  Make Checks
payable to: AAII  *


In Advance:
AAII Members & Family
$10 / person/couple
Nonmembers & guests, $10/person

At the door:
$15.00 per person/couple

Registrants/Total Fees

#____ AAII members & Family
        $__0_____

#____Guests (Nonmembers)
        $___0____

Total Fees                      $___0____

Checks are due 2 days before presentation date.

Register by mail:  "Print page" and fill in the form to reserve your seat.