Mid-Atlantic Regional Group
Blinded Veterans Association
Official Meeting Notice Registration Form
Fall Meeting
21 - 22 October, 2011
EVENT: BVA MID-ATLANTIC REGIONAL GROUP FALL MEETING
WHEN: October 22, 2011
WHERE: Comfort Inn Midlothian
8710 Midlothian Turnpike Richmond, Va. 23235
You must call 804-320-8900 to make your own room reservations and tell them you are with the Blinded Veterans by October 5, 2011
NAME:________________________________________________________
ADDRESS:____________________________________________________
CITY:_______________________________ STATE:________ZIP:________
TELEPHONE: (____ )_____________E-MAIL:_________________________
______I PLAN TO ATTEND THE REGIONAL GROUP'S FALL MEETING.
______NUMBER OF GUESTS THAT WILL ATTEND WITH ME.
______I CANNOT ATTEND, BUT I WOULD LIKE TO SUPPORT THE EVENT WITH MY ENCLOSED CONTRIBUTION TO THE REGIONAL GROUP.
______I DESIRE THE AGENDA IN BRAILE.
______A $10.00 PER PERSON REGISTRATION FEE IS ENCLOSED TO COVER THE COST OF THE MEETING AND LUNCH.
REGISTRATION WILL START AT 8:30 A.M.
PLEASE MAIL THIS FORM WITH YOUR REGISTRATION FEE, POSTMARKED BY October 8, 2011
TO: FORREST BLACK,
70 DIAMOND HILL ROAD,
HAMPTON, VA 23666.
IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT ME AT (757) 827-6579 OR AT FBLACK4@COX.NE.