AHFSA January 2009 MEMBERSHIP MEETING REGISTRATION
 

 1st Name    
 2nd Name  
 3rd Name   
 4th Name  

Address     
City              
State & ZIP Code

Phone         
E-Mail       

                                                                                                                                                    Number                Total
Item Description Dates         Attending   1 2 3 4 5 6 7 8 9 10 Amount 
                                                                                                                                  
The fee for the January 2009 Membership Meeting is $125 per person.

Method of Payment: Check in Process   Invoice Requested  Pay at Meeting (Receipts are available at the meeting)

Federal ID Number 39-1531391

AHFSA
1505 Solemn Grove Rd
Garner, NC 27529
919 661-8774
rgoodnow@bellsouth.net