Annual Hunter Education Instructor Conference Registration
(Print this page, fill out and mail)
Name:______________________________________________________________________
Instructor ID#:_______________________________________________________________
Address:____________________________________________________________________
City:______________________________________ State:________ Zip:_______________
E-Mail _____________________________________________________________________
I will be attending the Conference on Friday and Saturday night Banquet _____Yes _____No
Number of attendees ___ X ($20.00 ea.) or ____ X ($30.00 per couple) = Total ____________
List names of attendees for badges (spell names as you wish them to appear)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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Make checks payable to THEIA
Return form with check or money order by February 15, 2009 to:
Donnie Kee, Treasurer
3802 S. Medford Dr
Lufkin, Texas 75901