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First Name MI

Last Name

Street/PO Box

City

State Zip

Spouse Name

Phone
( ) -

Email

Main Registration

Total

Registration Fee # of People $15 each

Standard Room
(price includes breakfast voucher) # of Rooms $97

TOTAL

PLEASE FILL IN TOTAL IN PAYPAL TOTAL CHECKOUT

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Group Block Confirmation #: 3591.
Reservations 1-800-569-8008—Enlisted NG Group
REGISTRATION FORMS MUST BE SUBMITTED No later than MAY 1, 2012.
(10 rooms are available on 17 May at group rate and 5 are available on 20 May for those who want to arrive early or stay one day later).

Want to pay with Check? Downloadable form CLICK HERE

For more information Please call 1-904-315-4620 or
E-mail Mrs. Mary Paul