Southeastern Region Charlotte, NC RESERVATION

HEASTE
T
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O
RE
Title:
Email:
Visa
Exp:
Zip Code:
Credit card: MC
Card#
CVV code:
Signature:
RESERVATION FORM
Address:
State:
Mail to:
PO Box 7557
Warner Robins, GA 31088
Cell Phone:
Regtration By Phone:
478-987-7227
FAX:
478-987-7232
LE
N
S
Name:
District:
City:
Home Telephone:
$75 Registration Fee
Save Time, Register Online at:
www.eteamz.com/llbsouth
Please list any additional district staff who will be attending & their titles:
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Southeastern Region
Charlotte, N.C.
Amex
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N
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Southeastern Region Charlotte, N.C.
February 10th - 11th, 2012
Frid
ay
• AM
E
• Lun ducation
al
ch on
• PM
your Sessions
o
E
• Rul ducationa wn / Vend
es a
lS
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Table nd Regula ession
ti
Discu
ssion ons Roun
d
Saturday
al Sessions
• AM Education
own / Vendors
• Lunch on your
al Session
• PM Education
lations Round
• Rules and Regu
Table Discussion
• Dinner included
Licen
sed V
throu endors ava
ghou
t the ilable
day
ors available
Licensed Vend
e day
throughout th
Event Fee: $75
Event Location: Hilton Charlotte Executive Park
5624 Westpark Drive
1-704-527-8000
Event Code: RRT
Official Partner of Little League•