POINT National Conference - 2006 Registration Form

Please check registration amount enclosed:

G $85 deposit* G $165 paid in full G $185 after 31 May 2006

G $70 optional Haunted Hollywood tour

* If you send in this deposit, the balance of $80 is due by 31 May 2006. If the balance is paid from 1 June 2006 to 31 July 2006, the balance due is $100. After 31 July 2006, the balance due is $120.

Please reserve the following items for me. I understand that the balance is due by 31 May 2006:
Guest Meals: G Dinner Sat. 7 Oct. 2006 - $40 G Lunch Sun. 8 Oct. 2006
- $30

Guest Name _________________________________________________________

Please make checks payable to: Diane DeMarco/POINT 2006

PLEASE PRINT: Complete one form for each participant; feel tree to photocopy form for multiple registrations.

Name________________________________________Home Phone_____________________

Mailing Address_______________________________________________________________

City______________________________________State________________ZIP____________

Point #__________ Chapter Name & City ___________________________________________

Email Address _________________________________________________________________

Please furnish us with the following information. If more space is needed. please feel free to attach another page. We would like to include all of our Italian names and regions in the conference syllabus. Please list your primary region and province first.

      Family Name                              Region                     Province                Comune

1. _________________________________________________________________

2. _________________________________________________________________

3. _________________________________________________________________

4. _________________________________________________________________

Mail Registration Form to: POINT 2006
                                        P.O. Box 5164
                                        Culver City, CA 90231-5164

Full refund available until 30 April 2006
Refunds minus $85 available from 1 May 2006 until 30 June 2006
No refunds after 1 July 2006