FPSAA 2010 ANNUAL GATHERING REGISTRATION

Thank you for taking a few moments to register so we have a head count for food. Please
provide the requested information below and mail the form along with your check, payable to
FPSAA, no later than April 16th to:

Tom Linley, FPSAA Treasurer
2015 Chowkeebin Nene
Tallahassee, FL 32301

After April 16th, please bring check or cash to the gathering.
You can also register online at http://www.surveymonkey.com/s/JSQTSC

Name: ________________________________________________

Please indicate number in party for each activity below.

We look forward to getting connected and having fun!
Thank You

Friday, Dinner
Spaghetti, Salad & Bread # of Adults ___________ X $10.00 $ ___________ # of Children _________ X $6.00 $ ___________

Saturday, Lunch
Cold cut sandwiches & fixins # of Adults ___________ X $8.00 $ ___________# of Children _________ X $6.00 $ ___________

Saturday, Dinner
Barbeque & other stuff # of Adults ___________ X $12.00 $ ___________# of Children _________ X $8.00 $ ___________

Total $ ___________

Thursday, Workday

Dinner # of Adults ___________ X $0.00 $ ___________# of Children _________