VIETNAM VETERANS OF AMERICA
2016George Duggins REGION THREE CONFERENCE
Hosted by
The West Virginia State Council
May 19 - 21, 2016
Embassy Suites Charleston
www.embassysuitescharlestonwv.com
300 Court Street
Charleston, WV 25301
(304) 347-8700
Pre-registration ends April 30, 2016. Please do not mail your registration form after this date.Registrations received after MARCH 30, 2016 will be returned to sender. You may register on site if your registration is not received by March 30.2016 Faxed registration forms WILL NOT be accepted.
Membership # ______
Last Name______First Name ______Middle Initial ______
Address ______
City State Zip Code ______
Home phone ______Cell phone ______Emergency contact # ______
E-Mail address ______
REGISTRATION andLuncheon Fee
Before April 15,, 2016 On-site registration
VVA REGISTRATION Does includeSATURDAY Luncheon. _____$60 _____$70
AVVA REGISTRATION does includeSaturday Luncheon. (The opening
Ceremony and all VVA seminars will be open to REGISTERED AVVA members) _____ $50 _____ $60
Closing Luncheon for non-register Guests (Saturday, May 21, 2016) _____$ 45
TOTAL submitted: ______
Payment MethodCheck or money order enclosed (Payable to West Virginia State Council, VVA)
After April 30, 2016 no refunds will be made. Any refunds prior to April 30, 2016 will incur a $15 service charge.
Mail this form and full payment to: West Virginia State Council, Vietnam Veterans of America* C/O Joe Wilson, WVSC Treasurer • P.O. Box 1621 * Huntington, WV. 25717-1621
Fill out the information below as you want your name badge to appear. PLEASE PRINT CLEARLY
NAME ______
CHAPTER/STATE COUNCIL ______
CITY & STATE ______
TITLE/POSITON (optional) ______
Embassy Room Rate is currently estimated at $124.00 single, 124.00 double, 134.00 triple, 144.00quad (plus tax).
ALL rooms are suites and include bedroom, living/dining area with sleeper sofa, frig, microwave and bar. Each (EMBASSY ONLY) registered guest is entitled to DAILY FREE made-to-order breakfast and early evening manager’s reception (FREE snacks, soda, mixed drinks, wine, beer). Children under 18 stay free with parent/grandparent. Each registered guest will be issued a “meal card” for admittance to the food service area. Money$$$Saver Tips: The Hotel will tell you that parking is $6.00 per day but there is a $1.75 entrance that is equally convenient. Internet in the room is purchased by the day but FREE access is available in the lobby. Free shuttle from/to airport can be arranged. Enjoy the cheap local transportation on the trolley or bus. You can spend the money you save by following these tips at the three story mall located adjacent to the hotel.
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CHECK NUMBER ______AMOUNT ______
# Registered VVA ____ # Registered AVVA _____ # NON-REGISTERED dinner guests #______