2012 South East Mini Registration Information

Registration for the SE Mini is $15.oo, and each addition registration is $5.oo.

Banquet tickets which include a buffet dinner are $ 25.oo per person. The buffet includes the following:

Dinner Salad

Beef Tenders with Mushroom au jus & Chicken Almondine
Rice Pilaf and Fresh Vegetable Selection

Chocolate Mousse Cake

(Rolls, butter, iced water, iced tea & coffee

Hotel information is located on the "Info" page.

To register just fill out this form and submit it online- then mail your check to the address below (which is also on the confirmation page). Make payable to John M. Hoyt (address is also on the confirmation page).

2012 SE Mini Registration

c/o John M. Hoyt- W5UGD

118 Halifax Rd

Easley, SC 29642

South East Mini (SEMINI) Registration Register for the South East Mini

Callsign *

Name *

First Last Name as it will appear on your badge

County & ST to put on your badge *

Additional info to put on your badge (USA CA number, MARAC number, etc)

Email - A copy of this registration info will be sent to this email address *

Guests Please tell us about your guest/s

Guest 1 Callsign as it will appear on badge (if applicable)

Guest 1 Name as it will appear on badge

First Last

Additional info to put Guest 1's badge (USA CA number, MARAC number, etc)

Guest 2 Callsign as it will appear on badge (if applicable)

Guest 2 name as it will appear on badge

First Last

Additional info to put Guest 2's badge (USA CA number, MARAC number, etc)

Guest 3 Callsign as it will appear on badge (if applicable)

Guest 3 name as it will appear on badge

First Last

Additional info to put on Guest 3's badge (USA CA number, MARAC number, etc)

Are you going to the Fat Hen with us for dinner? If so, how many total people should we expect?

This is an “order off the menu and pay your own bill" event...

Just how much is this going to cost me? Total the following fields up:

How many people are going to be attending with you?

$00.00 - I'm not going... =) $15.00 - I'm all by myself $20.00 - Me and one guest $25.00 - Me and two guests $30.00 - Me and three guests $35.00 - Me and four guests

How many banquet tickets?

$00.00 - I'm eating at Burger King! $25.00 - It's just me for dinner! $50.00 - I'm taking one guest $75.00 - I'm taking two guests $100.00 - I'm taking three guests $125.00 - I'm taking four guests

The total check I will be sending (total the two lines above) *

The default is for One Registration and One Banquet Please send check to: John M. Hoyt 118 Halifax Rd Easley, SC 29642 Optionally, you can pay via www.paypal.com the amicon -at- amicon -dot- net account.

Any additional information we may need?

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