AIS Region 18 Fall Meeting
Agenda ~~~~~ Registration ~~~~~Festus, MO, hotels ~~~~~ Raffle

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REGISTRATION FORM
AIS REGION 18 FALL MEETING

October 6 and 7, 2006
Hosted by: Jeff Co Iris Society
Featuring: Paul Black from Mid America Garden, Brooks, OR
as Guest Speaker and Judges Training Instructor

Meetings will be held at Jefferson County Community College, Hillsboro, MO

To register, complete this form and mail it, along with your check made payable to Jeff Co Iris Society to:
Tom Gormley
6717 Martha Drive, Cedar Hill, MO 63016
636-274-7435
E-mail:  GormleyGreenery@aol.com

Registration Fee is $40.00.
Please PRINT, or key in your info online, then press "print":

NAME:
NAME:
ADDRESS:
CITY:
STATE: ZIP:
PHONE:
E-Mail:

Are you bringing slides?  (use "x")

REGISTRATION FEE INCLUDED: $


You will receive a confirmation notice in the mail upon receipt of your payment