Registration
Back Country Horsemen of Montana
2004 State Convention
University of Montana —Western
|
Convention Participant |
|---|
Back Country Horsemen Chapter: ___________________________________________________________________
Name: ___________________________________________________________ Voting Delegate Yes _____No_____
Mailing Address: _________________________________________________________
City: _____________________________________________ State_____ Zip_________
Phone:(___ )______ / __________ E-Mail:_____________________________________
Registration Fee: until March 1, 2004
$ 65.00 after March 1, 2004 $
75.00
Registration fee includes: Workshop, Saturday Lunch, Saturday Evening Banquet,
Refreshments, and Tour
Registration Fee $ __________
|
Spouse and/or Guest’s of Participants |
Name: ______________________________________ Name: ____________________________________________
Name: ______________________________________ Name: ____________________________________________
| Guests Tickets | Fee | X | Number Tickets | Total | |
|---|---|---|---|---|---|
| Saturday Lunch: | $ 7.00 | X | _______ | = | $_________ |
| Saturday Banquet: | $ 25.00 | X | _______ | = | $_________ |
| La Cense Tour: | $ 3.00 | X | _______ | = | $_________ |
| Guest Total | $_________ | ||||
| Registration Fee | $_________ | ||||
| Grand Total | $_________ |
Make Check Payable To: Three Rivers Chapter
Back Country Horsemen
Mail to: Three Rivers Chapter Back Country Horsemen / P0 Box 251
Dillon MT 59725
All Registration must be received by Saturday March 6th 8:00 AM
For further information: Contact Jeannette On (406) 683-6559 E-Mail
theo@bmt.net