UNITED SUPREME COUNCIL AASR

2008 BIENNUAL SESSION

PRE-REGISTRATION FORM

Mail all pre-registration forms to United Supreme Council 7818 Jewella Ave. Shreveport, Louisiana 71108. Pre-registration deadline is July 8, 2008. Make all check or money orders payable to UNITED SUPREME COUNCIL AASR. Please print or type your information.



NAME: __________________________________________________________


TITLE: __________________________________________________________


CITY: ________________________________State______________________



Pre-Registration -------------------------------------------------------------- $ ­­­­___ 60.00

(includes (1) Banquet Ticket (1) Souvenir Book (1) Badge) (1) Bag

_______Extra Banquet Tickets @ $45.00 ----------------------------- $__________

_______Extra Souvenir Books @ $10.00 ------------------------------ $__________
_______Caps @ $10.00 ---------------------------------------------------- $__________

T-Shirts ____ Large$10.00, _____ XL $11.00

_____XXL $12.00, ______XXL $13.00 ---------------------$__________



Total Amount Enclosed --------------------------------------------------- $__________