TBAI 2019 Event Registration Form

Please mail your registrations by July 15, 2019. After July 15th call to guarantee your registration. Registrations are accepted by calling (518) 562-4076 or print and mail to address below.

Please include full name, address, phone number and email address for each person registering. Mail registration to: TBAI, 4131 Route 9, Plattsburgh, New York 12901 USA or call 518-562-4076



Print this page and complete the following information (please print clearly):

Name: __________________________________________________________

Address: ________________________________________________________

City: ___________________________________________________________

State: ___________ Zip Code:____________ Country: ____________________

Telephone #: _____________________ Email: ______________________

____

I/We will attend the wonderful Thursday evening Gala. Count on me/us to share this very special memorable evening with friends from around the world

...........$20.00

____

I/We will join the bus trip to Herkimer

...........$50.00

____

Complete TBAI 2019 Convention Activity Package. Aug 16&17)

.........$195.00



 

 

Check your choice for Friday morning activity:

____  Visit Rosamond Gifford Zoo
____ Learn Print Making with Andrea Marcucci


Check if you wish to attend Friday afternoon activity:
____  Write A Fairy Tale with Agnes Intelicato


With the Friday TBAI Feast:
Dessert preference: _____ Chocolate or _____Non- Chocolate Sorry dessert is always a surprise so we don't know what the ingredients are!


If you can only join us for part of the activities, please indicate below: The purchase of activities on Friday or Saturday includes admission to the show on Saturday.

____ Thursday, Bus trip to Herkimer………...………………… $50.00
____ Thursday, Meet & Greet (pizza & salad)………...………………… $20.00
____ Friday morning activities: Buffet breakfast, Friday activity (check choice above), and Buffet Lunch $75.00
____ Friday evening activities (please make your dessert selection above) $75.00
____ Saturday Buffet Breakfast $35.00
____ Saturday Picnic Buffet $40.00


Enclosed is a check in the amount of __________ made payable to TBAI.

Please email me an invoice so that I may pay online by credit card in the amount of $_____________ to email address above.


NOTE: All prices are represented in U.S. Currency. To ensure proper exchange rate, please use a credit card outside of the United States.

Mail to: TBAI
4131 State Rte 9
Plattsburgh NY 12901
USA


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