Mail to: Checks Payable to:
Weatherford, Texas 76088
(no acronyms please)
For Club members who wish to be seated together:
1. List all members attending from your club (please list Honorees first)
2. Mail form with your bundled checks attached
3. Registration: $ 59.00 per person
Please Note: Seating assignments will be on a “first received” basis. Luncheon tables accommodate 10. If your table is not full members from other TFRW clubs will be assigned to sit with you.
Clubs may nominate up to 4 Honorees – please list below:
*If honoring someone that cannot attend the event, please fill out the separate form provided
Name of Honoree: ____________________________________________________________
Address: _____________________________________________________________________
Phone: ______________________________________________________________________
E-mail: ______________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # ________
Name of Honoree: ____________________________________________________________
Address: _____________________________________________________________________
Phone: ______________________________________________________________________
E-mail: ______________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # ________
Name of Honoree: ____________________________________________________________
Address: _____________________________________________________________________
Phone: ______________________________________________________________________
E-mail: ______________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # ________
Name of Honoree: ____________________________________________________________
Address: _____________________________________________________________________
Phone: ______________________________________________________________________
E-mail: ______________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # ________
Additional Club Members, Elected Officials or Guests attending – please list below:
Please feel free to make additional copies for additional attendees
Name: ______________________________________________________________________
Please circle one: Club member Elected official Guest
Address: _____________________________________________________________________
Phone: _____________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # _______
Name: ______________________________________________________________________
Please circle one: Club member Elected official Guest
Address: _____________________________________________________________________
Phone: _____________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # _______
Name: ______________________________________________________________________
Please circle one: Club member Elected official Guest
Address: _____________________________________________________________________
Phone: _____________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # _______
Name: ______________________________________________________________________
Please circle one: Club member Elected official Guest
Address: _____________________________________________________________________
Phone: _____________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # _______
Name: ______________________________________________________________________
Please circle one: Club member Elected official Guest
Address: _____________________________________________________________________
Phone: _____________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # _______
Name: ______________________________________________________________________
Please circle one: Club member Elected official Guest
Address: _____________________________________________________________________
Phone: _____________________________________________________________________
Occupation: __________________________________________________________________
pmt by ck # _______
Submitted by:
Name: __________________________________________ Phone # ____________________