Conference Registration Form | First Floridians

FIRST FLORIDIANS: FIRST AMERICANS CONFERENCE
OCTOBER 4, 5, and 6, 2012
MONTICELLO, FLORIDA 32344 http://WWW. firstfloridians.com
Phone: 850-576-0721 or E-Mail: ahholt@ahholt.com
REGISTER EARLY – SEATING IS LIMITED
Please circle days you will attend: Thurs Fri Sat
See available inns and hotels at Accommodations

Please print clearly and Mail to: P. O. Box 923, Monticello, FL 32345
Name______________________________________________

Address_____________________________________________

City, State, Zip________________________________________

Phone____________________________Fax________________

E-Mail______________________________________________

There is no admission charge for the conference. A tax-deductible donation to Main Street Monticello Florida, inc. will be appreciated & ensure our ability to continue this conference another year.

CIRCLE ONE – $25 – $50 – $100 – OTHER
Make checks payable to Main Street Monticello Fl
Use credit card by PAYPAL go to:
www.maintstreetmonticellofl.org

Please read the NEW conference speaker’s schedule
We moved the evening talks up to 4:30 PM