Land O' Lakes District
Convention Registration Form

(Last modified: $Date: 1999/09/07 19:27:53 $)

(Use your web browser to print this out, then fill out the form and snail-mail it to the address below.)

Individual Housing Form
Land O'Lakes District Fall Convention
Rochester, MN -- Oct 22-24, 1999

Instructions:

Name(Last/First)________________________________________________________

Address_________________________________________________________________

City _____________________________________

State/Prov____________Zip____________

Telephone (________)__________________________ # in room _________________

Arrival date ________________________ Depart date _____________________

Hotel Preference - Indicate 1st, 2nd, 3rd choice

                                            Single/Double Triple/Quad


______	Kahler Economy Inn & Suites            $ 65.00     $ 65.00
		(4 blocks to Auditorium)


______	Comfort Inn & Conference Center        $ 69.00     $ 69.00
		(1 mile to auditorium - south)

______	Ramada Limited                         $ 69.00     $ 69.00
		(1 mile to auditorium - west

______	Hampton Inn (507) 287-9050             $ 79.00     $ 79.00
		(1 mile to auditorium - south

______	Best Western Soldiers Field            $ 85.00     $ 85.00
		(1 mile to auditorium - west)

To guarantee your room the Hotel requires a Credit Card or one night's
deposit.

Credit Card Information:     AMEX_______ VISA________ MC_______ DISC_______

Name on card ___________________________________________________________

Card # ________________________________________________Exp_____________

Mail form to:	Del Ryberg                      Questions:
                13354 Postier Drive NW           (507) 367-2485
                Oronoco, MN 55960-2141           e-mail: dryberg@juno.com



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(Last modified: $Date: 1999/09/07 19:27:53 $)