Registration For the

NFBK State Convention

November 2,3, and 4, 2007

Please send registration form and payment to Martha Kelly at 12009 W. 120th Terrace. Overland Park, KS 66213. Please make checks payable to the National Federation of the Blind of Kansas.

If you are registering multiple attendees, please include all names of those you are registering.

Name: __________________________________________________________________

Address: ________________________________________________________________

Telephone: ______________________________________________________________

E-mail: _________________________________________________________________

Convention and Events Registration

Registration Type	Amount
Pre-registration:	$5.00
Registration at the door:	$10.00
Luncheon:	$10.00
Banquet:	$15.00

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