Changing the Course of a Nation - Liberty, Integrity and Prosperity

2011 Making of America Seminar

-Making of
America Seminar~

~9 July2011~

Registration

Name:

NAME FIELD

Address:

ADDRESS FIELD

Phone:

PHONE FIELD

Email:

EMAIL

Participant #2 Name:

#2

Participant #3 Name:

#3

Participant #4 Name:

#4

NOTICE:
Due to conference schedule, the lunch break is only 45 minutes.

Sack lunches available for $5
each. Please mark total number of
lunches requested.

Meal includes 6” sandwich,
chips, cookie, and bottled water or soda.

#-CLUB Club # VEGGIE Veggie # TURKEY Turkey

Number

Cost

Total

Individual Registration

$15

Couple Registration

$25

Family Registration

$35

Lunch

$5

Total

—————-

——————-

$

Liberty Tree

178 NW 1871st. Rd.

Kingsville, MO 64061

816-728-2618

You will receive an email
notification verifying your registration.
Your seminar guide and lunch tickets will be available at the
registration table the day of the event.
Registration must be received by 31 May to ensure one receives a study
guide.