MEETING REGISTRATION FORM The PACE SOCIETY OF AMERICA, INC. Annual Meeting June 20-22, 2013 Holiday Inn Colorado Springs Airport 1855 Aeroplaza Drive, Colorado Springs, Colorado 80916 Reservations can be made for hotel rooms by calling the Holiday Inn 719-380-8516 Please make checks for meals and tour payable to Pace Society of America and mail with a copy of this form no later than: April 30, 2013

mail to Melea Allan 8841 Chalali Mesa Ct. Fountain Colorado, 80817 Melea's Contact #: 719-382-4169 Melea's E-mail: meleaa@Yahoo.com

Number of Adults attending: Number of Children (17 & Under FREE): No Registration Fee)

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Name of Contact Person: Address: Phone: E-mail (please print):

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REGISTRATION FEE...................$25.00 per adult THURSDAY, June 20 Dinner........$35.00 Childs Meal (4 & under FREE) ...ages 5-12...$17.00 FRIDAY June 21 Dinner................$35.00 Childs Meal (4 & under FREE) ...ages 5-12...$17.00 SATURDAY June 22 Boxed Lunch.$10.00 .....(circle your choice; HAM, ROAST BEEF OR TURKEY sandwich) SATURDAY June 22 Dinner...........$30.00 Childs meal (4 & under FREE) ...ages 5-12...$15.00 June 22 Motorcoach trip to (see info sheet)...$60

number ________ ________ ________ ________ ________ ________ ________ ________ ________

each $25.00 $35.00 $17.00 $35.00 $17.00 $10.00 $30.00 $15.00 $60.00

amount $________ $________ $________ $________ $________ $________ $________ $________ $________ Total $________

Print Names below, as they should appear on the name tags:

1_________________ 2_________________ 3_________________ 4_________________

YOU ARE RESPONSIBLE FOR MAKING YOUR RESERVATIONS/PAYMENTS AT THE Holiday INN
(Under Code PACE SOCIETY) NO LATER THAN MAY 20th, 2013. ~ O ~ REGISTRATION FORMS need to be sent in by APRIL 30th