Page 5 - CALIFORNIA WOMAN - FALL EDITION 2024 - FINAL
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CALIFORNIA FEDERATION of BUSINESS & PROFESSIONAL WOMEN
Fall Board Meeting
October 5, 2024 – Courtyard by Marriott, Burbank, CA
CFBPW REGISTRATION FORM
PLEASE PRINT ALL INFORMATION – Please, one form for each person attending
NAME: ________________________________________ CLUB:__ ____________________
ADDRESS: __._______________________________________ DISTRICT: __ _____________
CITY: _ ___________________________________________ ZIP: ___________________________
HOME PHONE ______________________________________ WORK PHONE ___________________
E-MAIL ________________________ __________________________________________________
__ I will be attending via Zoom and understand there is a Registration Fee for Zoom participation.
October 5, 2024 – Fall Board Registration
2021-2022 STATE POSITION: (Select Only One)
_____ State Officer _____ Standing Chair _____ Member
Past State President Special Chair First Timer
_____ District President/Alternate _____ District Representative _____ Guest (registration fee waived)
REGISTRATION:
Early Bird – Received on or before Friday September 18, 2024 $ 25 _______
Regular Fee Received between September 18 and September 25 $ 30 ______
Late Fee Received after September 25 $35_______
Zoom Only Registration is the same as regular registration above.
Guests do not pay a registration fee but must register.
MEALS –
Saturday Lunch (Chicken Cordon Blue) ____ or Chef’s choice pasta __-_ $50 _______
Plus $5 late fees for each meal received after September 25, 2024 $ _________
TOTAL AMOUNT ENCLOSED – PLEASE MAKE CHECK PAYABLE TO: CFBPW $________
MAIL CHECK MADE PAYABLE TO CFBPW AND THIS FORM TO: PHONE
Sandy Thompson – CFBPW Registration 818-848-2848
710 S. Main St. Burbank, CA 91506
Email: oscarthom@yahoo.com
YOU MAY PAY USING ZELLE. SET THIS UP THROUGH YOUR BANK ONLINE. NO FEES CHARGED.
SEND THROUGH ZELLE USING THIS EMAIL: bpwvsd@gmail.com
With Zelle payments you still need to mail or email the registration form as above.
SPECIAL REQUIREMENTS:
__If you have a disability and require accommodation to fully participate in this activity, please check here.
You will be contacted to discuss your specific needs.
__If you have dietary restrictions, please let us know:
