HOME BAKING ASSOCIATION

ANNUAL MEMBERSHIP MEETING

September 28-30, 2014
Skamania Lodge and Resort
Stevenson, Washington

REGISTRATION

NAME

COMPANY

ADDRESS

CITY STATE ZIP CODE

TELEPHONE FAX

E-MAIL

Registration (Members Only). . . . . . $595.00

(Must be postmarked by September 5)

Late Member Registration . . . . . . . . $695.00

(Postmarked after September 5)

HBA Member/Spouse Registration. . $300.00

(Includes all meals/meeting materials/workshop session)

NAME

HBA Member/Spouse Partial Registration $200.00

(Includes ONLY Welcome Reception & President’s Dinner)

*Non-Member Registration. . . . . . . $695.00

*New member applications received during the Annual Meeting will

have $100 deducted from 2014-15 membership fee.

TOTAL AMOUNT ENCLOSED $

List any special dietary restrictions:

Will you have a car for local transportation? Yes No

Would you be interested in sharing transportation from airport to hotel? Yes No

Please complete the registration form and return with check payable to Home Baking Association or pay by credit card at HomeBaking.org. Mail registration form to:

Charlene Patton

Home Baking Association

2931 SW Gainsboro Road

Topeka, KS 66614