Register

Send Check and the Following Information to:

Tani McNees

3540 West 600 South, Logan Utah, 84321

Name_______________________

Spouse name (couples registration)___________________________________

Phone________________________________________________________

Address_______________________________________________________

E-mail________________________________________________________

Registration: (pick one)

-Individual registration

-Couples registration

___________________________________________________ Amount:_______________

Lunch Ticket ($5.00 a person) _____________________________Amount:_______________

Early Bird Deadline – NOVEMBER 12th, 2009

Early Registration:

• $35.00/person
• $60.00/couple

At Door Registration:

• $50.00/person
• $90.00/couple

If you would like to Register online follow the steps below:

1. Comment on this post with all the information above.
2. Send your check in the mail to Tani McNees.
3. You should get two e-mails the first will be a confirmation of your registration information, and the second will be a confirmation of your payment.

Thank you

-Tianna McNees

Secretary, Restoring Balance 2009