2009 Mid Atlantic Innkeepers
Aspiring and New Innkeeper REGISTRATION FORM
Mail Completed Registration and Check to:
Mid Atlantic Innkeepers, 599 Fox Hunt Road, Glasgow, VA 24555
(or) FAX Form to
(540) 463-5122

1st Attendee Name:
 
2nd Attendee Name:
 
Street Address:
 
City, State, Zip:
 
Phone:
 
E-Mail:
 
  I (we) plan to stay for the full conference - $100 additional each person.
  I (we) want to participate in Howard Helmer's Eggstravaganza - $20 additional each
Payment Amount:  
Check or Credit Card:  
If Credit Card Indicate Type:  
Card Number:  
Expiration Date:  
Security Code:  
     
Signature:   ______________________________________
If paying by Check - Make checks payable to Mid Atlantic Innkeepers

Lodging should be made directly with The Homestead on the forms provided.
Fax Form: (540) 839-7922 or Email Form: Linda.Adwell@theHomestead.com
Mail Form to: Group Reservations, PO Box 2000, Hot Springs, VA 24445