2010 Regional Members Registration

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2010 Regional Member Meeting Registration Form

	August 16	Monday	Warwick Hills Country Club, Grand Blanc, MI
	August 18	Wednesday	Blackthorn Golf Club, South Bend, IN
	August 24	Tuesday	Tullymore Golf Club, Stanwood, MI Meeting at St.Ives Golf Club
	August 26	Thursday	Greywalls Golf Course, Marquette, MI Meeting at Marquette Golf Club
	August 30	Monday	Meridian Hills Country Club, Indianapolis, IN
	September 2	Thursday	French Lick Resort, French Lick, IN

Institution :
Street Address :
City :
State :
Zip :
Phone Number :	- -

ATTENDEE
First Name :
Last Name :
Title :
E-mail :

WILL ATTEND
Morning / Lunch OR Morning / Lunch / Golf Handicap Attendees $50 All day including golf $125
FEES Morning/lunch attendees $50 (meeting & lunch attendees will receive a golf jacket). All day including golf $125 PAYMENT Members, please do not send us a check. Your FHLBI CMS account will be charged. Cancellations must be received 3 business days before the event to receive a full refund. Men's Jacket Size : M L XL XXL OR Ladies' Jacket Size : S M L XL
Questions? Call Kim Dodge at (317) 465-0441 or e-mail kdodge@fhlbi.com.

Updated: May 25, 2010