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Please register by May 15, 2007 or earlier if possible. It will greatly assist your conference committee if you register early. Please print out this registration form and mail it (with a note indicating any special requests such as dietary meal needs) along with check, money order, or credit card information to: Lincoln Highway Association Please PRINT as you wish name(s) to appear on name tag(s) Name(s):_________________________________________________________________________________ Address:__________________________________City:_______________State:__________Zip:________ Phone:______________________ E-mail:____________________________________________________ REGISTRATION FEES
* Full Conference registrations will be given priority for available bus space. Bus tour only registrations will be processed after June 1, 2007 in order of receipt and on a space available basis. Credit Card Information: Cancellation Policy: Cancellations received by the Association prior to May 31 will be accepted without question. However, a fee of $25 will be deducted to cover processing. After May 31 there will be no refunds except those granted by the Executive Committee of the Association for cases of extreme hardship. WAIVER OF LIABILITY (must be signed by all registrants)
The undersigned hereby agrees that the Lincoln Highway Association and/or its officers and directors shall have no responsibility or liability, in whole or in part, for any loss, damage, or injury to person or property, or any act of omission resulting from, arising out of, or occurring during any activity, program, tour, meeting, meal, or other service and facility furnished or supplied in conjunction with the Annual Lincoln Highway Association Conference. Signed_________________________________________ Date______________________________ Signed_________________________________________ Date______________________________ Signed_________________________________________ Date______________________________ Signed_________________________________________ Date______________________________ |