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2012 Annual Meeting Registration Form 1301.xlsx

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<strong>Annual</strong> <strong>Meeting</strong> &<br />

100th Anniversary Celebration<br />

Service Unit Delegate RSVP & Training <strong>Registration</strong> <strong>Form</strong><br />

Delegates, Alternates, and Visitors: Complete form and return (with payment) no later than November 18, 2011.<br />

Mail: Waite Park Regional Center | Attn: Katie Koester | 400 2 nd Avenue South | Waite Park, MN 56387<br />

Fax: 320-253-9403<br />

Email: kkoester@gslakesandpines.org<br />

Name Address & City Phone Email<br />

SU/<br />

Troop<br />

Friday<br />

Social<br />

$5<br />

Saturday<br />

Business<br />

<strong>Meeting</strong><br />

includes<br />

luncheon<br />

$15<br />

Dietary<br />

requests<br />

Choose<br />

one:<br />

Delegate<br />

Alternate<br />

Visitor<br />

Total Cost<br />

DELEGATE TELECONFERENCE TRAINING SESSIONS:<br />

Please attend one:<br />

Thursday, December 8, 2011 7:00 – 8:30 p.m.<br />

Tuesday, December 13, 2011 7:00 – 8:30 p.m.<br />

Dial: 1-866-477-6298 Enter: 275465#<br />

Additional Space on Back<br />

Community Coordinator Name:_________________________<br />

CC Signature:_________________________________________<br />

*GSMWLP will pay the meeting cost for Delegates out of<br />

the Council’s budget for each Service Unit.<br />

The cost of the social is paid individually per person*


Name Address & City Phone Email<br />

SU/<br />

Troop<br />

Friday<br />

Social<br />

$5<br />

Saturday<br />

Business<br />

<strong>Meeting</strong><br />

includes<br />

luncheon$ Dietary<br />

15 requests<br />

Choose<br />

one:<br />

Delegate<br />

Alternate<br />

Visitor<br />

Total Cost<br />

For Office Use:<br />

10-5200-100-1012-9999-999-1<br />

<strong>Form</strong> 1301

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