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SUMMIT 2017 - REGISTRATON FORM

 

 

 

 

 

 

 

 

 

 

 

 

 

 Contact Westgate Report
9500 Turkey Lake Road
Orlando, FL 32819
1-877-502-7058

Studio Villa - Sleeps 4 - King Bed,
Queen Sleeper Sofa - $80

Two Bedroom Villa - Sleeps 8 - King Bed, 2 Double Beds in second bedroom, Queen Sleeper Sofa - $160

+ Tax 12.5% & $12.99 resort fee

Be sure to mention group code: 62-934

Make Reservations by August 25, 2017
to get these rates

Summit 2017

September 23, 2017

 

 

Please Print

 Name ________________________________________________________________________

               (As you would like it to appear on your name badge)

 Club ________________________________________________________District ________________

 Address ______________________________________________________________________

City ______________________________________State_____________Zip________________

Home Phone _____________________________ Cell Phone __________________________

E-mail ________________________________________________________________________

Employer and Occupation ______________________________________________________
                                                       (Needed for IRS reporting purposes Please)

Registration fee before September 13, 2017 - $75.00 ______________

Registration fee after September 13, 2017 - $85.00 _____________

Guest for Reception Only - $25 ____________

Name of guest(s) _________________________________ if you need room for more guest names, use the back of this form.

Total enclosed $ ________________   Check # _____________

Mail completed registration form and your check made out to FWPN to:  Pat Cogswell FWPN Treasurer
                                                                                                                  
5902 Golden Road
Email:
patscogswell@gmail.com                                                                Sebring, FL 33875-6099

Phone: 863-471-2735

You can charge your registration; we accept MasterCard, Visa, Discover & American Express.   No Debit Cards Please.

Account # ________________________________________ Visa __ MasterCard __ Discover __ Am. Exp. __

Expiration Date: (MM/YY): ___________________

Name as it appears on the card: _______________________________________ 

Billing Zip Code: _________________________________

REFUND POLICY: FWPN cannot refund registration fee after September 18, 2017.
Please note that once meal functions are confirmed, that you are responsible for payment.

Last update 8/11/17

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Click here for a printable version of the Summit Registration Form