NAME
: _______________________
SPOUSE , IF ATTEND : _________
ADDRESS
: ____________________
CITY
:___________ STATE
: ___ ZIP
:______ PHONE
: ___________________ MEMBERSHIP
: CURRENT __RENEWING
__NEW__
E-MAIL
: ______________________________ HOME
CLUB : _______________ |
| WEEKDAY | MONDAY | TUESDAY | WEDNESDAY | THURSDAY | FRIDAY | SATURDAY |
| CLASS
FEES ARE PAID TO THE INSTRUCTOR WHEN YOU TAKE THE CLASS.
ENTER A CLASS NUMBER FOR YOUR FIRST, SECOND, AND THIRD CHOICE FOR EACH DAY
THAT YOU PLAN TO ATTEND. INCLUDE
REGISTRATION FEE, BANQUET TICKET (IF NEEDED) AND DUES, IF THEY ARE DUE, WITH YOUR
REGISTRATION FORM. |
| MAIL
TO: BILL BANG 441 INGRAM LOOP INGRAM, TX 78205
|
REGISTRATION
/ FAMILY ( $ 25.00 AT EVENT) | DUES
( $ 12.00 ) | BANQUET
TICKETS @ $ 8.00 EACH NUMBER OF TICKETS | TOTAL
ENCLOSED MAKE CHECKS PAYABLE TO: TWG |
|
$
15.00 | _________________________ | ___________________________
| ____________________
|
|
|