Indiana 2016 Meeting Registration

Host:  Patti Piscione, Carter Tire Sales & Service
City:   Southbend, IN
Date:  August 22-24, 2016
Hotel:  Morris Inn
Hotel Room Rate: $109/night
Closest Airport:  O’Hare (ORD) or Southbend (SBN)

Please Note:
– Guests requiring a separate room should register separately.
– Any changes after this form is submitted should be sent to Dennis McCarron.

HOTEL ARRANGEMENTS

Please change if different.
Please change if different.

AIRLINE ARRANGEMENTS

:
Example: ORD/MEM
:
Example MEM/ORD

REGISTER YOUR GUEST

Please leave blank if you are not bringing a guest.
Please leave blank if you are not bringing a guest.

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