OHIO STATE

HIBERNIAN CONVENTION
REGISTRATION FORM

HOLIDAY INN, FRENCH QUARTERS PERRYSBURG, OHIO

PLEASE PRINT LEGIBLY

 

NAME: _________________________________
ADDRESS: ______________________________

CITY, STATE ZIP:_________________________
E-MAIL ADDRESS:________________________
                                                                                   AOH         

LAOH

GUEST

REGISTRATION AND VOTING ONLY  $25.00  

 

                  SOCIAL EVENTS

 

 

ICE BREAKER Friday July 13,

 

CLOSING DINNER Saturday July 14

$45.00 Early Bird

$55.00 Regular

$65.00 Early Bird

$75.00 Regular

COMPLETE PACKAGE 

$135.00 Early Bird

$155.00 Regular

EARLY BIRD SPECIAL PRICING MUST BE POSTMARKED BEFORE JUNE 1, 2007

 COMPLETE PACKAGE INCLUDES REGISTRATION AND ALL EVENTS

MAKE CHECKS PAYABLE AND MAIL TO:

OHIO HIBERNIAN STATE CONVENTION 2007

C/O DAN MCCARTHY

2277 CASTLEWOOD

TOLEDO, OHIO 43613

DOES NOT INCLUDE MOTEL CHARGES: CALL 1-888-874-2592
$95.00 SPECIAL FOR HIBERNIANS BY JUNE 11, 2007