73Rd ANNUAL GOLD STAR WIVES of AMERICA, INC NATIONAL CONVENTION

73rd ANNUAL GOLD STAR WIVES OF AMERICA, INC NATIONAL CONVENTION

MEMBER REGISTRATION FORM

CROWNE PLAZA AIRE HOTEL, BLOOMINGTON, MN

3 APPLETREE SQUARE, BLOOMINGTON, MN 55425

JULY 17-22, 2018

Name______T-Shirt Size______

Address______

City______St ______Zip______

Email______Phone______

Is this your first convention: Yes___ No___ Are you a Veteran Yes____ No____ Branch______

Member Status Chapter______Region______Past Nat’l President: _____

Any Special Needs or Dietary Restrictions: ______

Current Chapter, Region, or Nat’l Office held: ______

Kids Care needed: ______Number of Children, Sex, and Ages______

Kids Care will be provided for members during Business Sessions, Additional Forms will be required

Emergency Contact Name ______Phone______

Address: ______

MEMBER REGISTRATION WITH ALL MEALS MEMBER REGISTRATION ONLY

Includes all conference material and goodie bag plus all meal Includes all conference materials and goodie bag. Meal

Functions. Please indicate choices below: functions may be purchased individually

Wed Hospitality Welcome Attending: Y___ No___ $39 Wed Hospitality _____

Thur President’s Reception Attending Y___ No___ $34 Thur President’s Reception______

Fri President’sLuncheon (Choose One) $36 Fri President’s Luncheon (Choose)

Chicken Breast ___ Pan Seared Salmon___ Chicken Breast ___ Pan Seared Salmon___

Sat Installation Banquet (Choose One $46 Sat Installation Banquet (Choose)

Pork Tenderloin___ Walleye Pike ___ Pork Tenderloin___ Walleye Pike ___

$156.00 Total Enclosed $30.00 Registration

$ ______Meal Functions

$______Total Enclosed

Mail this form with payment to GSW, PO Box 361986, Birmingham, AL 35236-1986, Postmarked by June 7, 2018 or use the on-line Reservations. Registration is not complete until payment is received. Registration after June 7, 2018must include a $25.00 Late fee. If you would like to pay by credit card, please go online and register at Please call Convention Chair, Crystal Wenum at 715-386-8615 with any questions or email her at: crystalw @pressenter.com.

73rd ANNUAL GOLD STAR WIVES OF AMERICA, INC NATIONAL CONVENTION

GUEST REGISTRATION FORM

CROWNE PLAZA AIRE HOTEL, BLOOMINGTON, MN

3 APPLETREE SQUARE, BLOOMINGTON, MN 55425

JULY 17-22, 2018

Names______

Address______

City______St ______Zip______

Email______Phone______

Any Special Needs or Dietary Restrictions: ______

Emergency Contact Name ______Phone______

Address: ______

GUEST REGISTRATION SELECTIONS:

$39 Wed Hospitality ______Total $______

$34 Thur President’s Reception______Total $______

$36 Fri President’s Luncheon (Choose) Total $______

Chicken Breast ___ Pan Seared Salmon____

$46 Sat Installation Banquet (Choose)Total $______

Pork Tenderloin____ Walleye Pike ______

$30 (Optional) Conference Materials PacketTotal $______

Includes all conference materials such as convention booklet,folder, & goodie bag

______Number of Guests Attending$______Total Amount Enclosed

Mail this form with payment to GSW, PO Box 361986, Birmingham, AL 35236-1986, Postmarked by June 7, 2018 or use the on-line Reservations. Registration is not complete until payment is received. Registration after June 7, 2018 must include a $25.00 Late fee. If you would like to pay by credit card, please go online and register at

Please call Convention Chair, Crystal Wenum at 715-386-8615 with any questions or email her at:

crystalw @pressenter.com.