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2017 ASI Lake Union Convention Registration

Dates

April 21-22, 2017

Speakers

Derek Morris

Accommodations

** Room is on your own – Reservation code: Lake Union ASI **
Blue Gate Garden Inn
800 South Van Buren Street
Shipshewana, IN 46565

2017 ASI Lake Union Registration

Registration Information

First Name *

Last Name *

Registration *

Adult (incl. meals) ($135)

Child (incl. meals age 5-12) ($80)

Exhibitor (incl. 1 Full Adult Registration) ($200)

Adult/Youth Registration Only ($70)

Child Registration Only ($35)

Adult Meals

Friday Supper ($25)

Sabbath Lunch ($25)

Sabbath Supper ($25)

Child Meals

Friday Supper ($20)

Sabbath Lunch ($20)

Sabbath Supper ($20)

Total

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Billing Information

First Name *

Last Name *

Organization

Email Address *

Phone Number *

Address *

Address

City

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Grand Total

Credit Card *

Credit Card

ASI

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9705 Patuxent Woods Drive
Columbia, MD 21046 USA

(443) 391-7235

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