Convention Registration Test

Registration: Please complete one registration form per person.

All Donations are non refundable. and will go to General Fund to support Affiliate programs

Payment by Check Information

Instructions:

To pay by check please send checks to:

Nata Watkins

106 Lowe Stinson Road

Hogansville Georgia 30230.

Please make the check payable to NFB of Georgia

You may also call (404) 371-100 and select option #1.

All checks must be received by September 22, 2022 for your registration to be honored.

How Would You Like To Pay? *OnlineCheck

First Name *

Last Name *

Email Address

Phone Number

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Choose Your Convention Registration Options

Registration Options *Registration Only ($20 per person)Registration with Lunch Plan $(40 per person)Banquet Only ($60 per person)Registration and Banquet ($100 per person)

Lunch Option (Select one): *TurkeyRoast beefGrilled chickenVeggie Wrap

About Boxed Lunch

Boxed lunch will come with a sandwich, choice of a coleslaw salad or potato salad, chips, whole fruit, a cookie and bottle water or soda.

Banquet Dinner Options:

Fried ChickenBaked FishVegetable Pasta*All dinner options will come with a green vegetable, rice or potatoes, bread, salad, dessert, along with coffee and tea

Would You Like Information on the NFB of GA?YesNo

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