ADAMCON 21 ....... June 25-29,2009

Check in on Thursday June 25th. Convention held

on Fri, Sat, & Sun. Check-out on Mon June 29th

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Registration Form and Pricing

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FULL DELEGATE Thurs-Sun; 4 nights room 
	breakfast, 3 lunches, 1 banquet			$350.00
Non delegate spouse (same meals as above)            	$300.00
Full delegate child under 18 (same meals as above)	$150.00
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FULL DELEGATE FRI-SUN; 3 nights room
	breakfast, 2 lunches, 1 banquet			$300.00
Non delegate spouse (same meals as above)		$250.00
Full delegate child under 18 (same meals as above)      $100.00
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FULL DELEGATE Sat-SUN; 2 nights room
	breakfast, 1 lunches, 1 banquet			$250.00
Non delegate spouse (same meals as above)		$200.00
Full delegate child under 18 (same meals as above)      $ 75.00

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           For any other configurations, please contact us.

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     All who are PAID IN FULL by May 15th, will receive a free tshirt

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Comfort Inn hotel website and pictures area are at:

Comfort Inn - Grand Rapids	Location Map for Comfort Inn

ADAMCON 21 Registration Form

Name _____________________________________
Address ________________________________________
City ____________ State/Prov ___________
Phone _______________ Postal Code __________
Children: 1st ________ Age __ 2nd __________ Age __

IF traveling alone and you wish to share a room, check here ___
Enter name of person you wish to room with ____________________
Do you wish a SMOKING room ???? ___
Do you want to buy an ADAMCON 21 T-shirt @ $12 US ___
 (circle size) M L XL XXL

Full Delegate $________	Non-delegate spouse $_____ 

Child delegate $________

Single room-add $30.00 per night $_____ T-shirt $ _______

		TOTAL........ $_______

		Deposit/Paid..$_______

		Balance Due...$_______

Please make all checks or money orders in US funds and payable to:

			Bob Slopsema

		2261 Shadetree Lane SE

		Kentwood, MI 49546-7585