Western States Pin Swap Registration Form

21 ANNUAL WESTERN STATES PIN SWAP
WE' VE MOVED
LAS VEGAS, NEVADA
OCTOBER 12, 13, 14 & 15, 2008
Early registration pin if you register prior to September 15, 2008 Events: Besides pin trading, we'll have our Championship Nine Hole Golf Tournament, Pin Auction, 50/50 raffle Hospitality and breakfast. To place pins in the Auction, send them to PDG John Holland no later than September, 15, 2008. We would like to publish the entries prior to the Auction.
HOTEL INFORMATION
We'll be at the TUSCANY SUITES & CASINO, 255 E. Flamingo Road, Los Vegas, Nevada. Rates are $135.00 Friday and Saturday and $85.00 Sunday thru Thursday. All rooms are suites with coffee makers, refrigerators, hair dryers, iron and board, in-room safe, internet access and more. For reservations, call 1-877-887-2263, and be sure to mention "Lions Western States Pin Swap", or our confirmation number is 11N185. Register by September 15, 2008. After that date, the rooms will be on space available at prevailing rates.
To use this form complete the information in each box than go to your Browser "File" heading, click on "file" a drop down menu will appear, click on Print, click on OK and the form should print out on your printer. YOU WILL NOT BE ABLE TO SAVE THE COMPLETED FORM ON YOUR COMPUTER. If you want a copy for yourself print two copies.
REGISTRATION FORM
Registration includes Table, Swap Pin, Registration Pin and Early Registration Pin (if timely). Breakfast includes the Breakfast Pin, but you MUST be at the Breakfast to receive this pin. Extra tables are available at a reduced price (no pins at the reduced price).
Name:	Guest:
Address:	City:
Other Address:	ST: Zip
Province	Country:
Registration No.	Will you be staying at the Tuscany?
Extra Table	If YES, How many nights?
Breakfast	Are you sharing a Room?
Total	If yes, with whom:
Make checks payable to CLPTA
Mail Check and Registration form to
PDG John Holland	Phone: 702-614-8654
1770 Autumn Rust Drive	email: newlife69@cox.net
Las Vegas, NV 89119-0408

21 ANNUAL WESTERN STATES PIN SWAP One Arm Bandit01 Pic

WE' VE MOVED

LAS VEGAS, NEVADA

OCTOBER 12, 13, 14 & 15, 2008

Early registration pin if you register prior to September 15, 2008
Events: Besides pin trading, we'll have our Championship Nine Hole Golf Tournament, Pin Auction, 50/50 raffle Hospitality and breakfast.
To place pins in the Auction, send them to PDG John Holland no later than September, 15, 2008. We would like to publish the entries prior to the Auction.

HOTEL INFORMATION

We'll be at the TUSCANY SUITES & CASINO, 255 E. Flamingo Road, Los Vegas, Nevada. Rates are $135.00 Friday and Saturday and $85.00 Sunday thru Thursday. All rooms are suites with coffee makers, refrigerators, hair dryers, iron and board, in-room safe, internet access and more. For reservations, call 1-877-887-2263, and be sure to mention "Lions Western States Pin Swap", or our confirmation number is 11N185. Register by September 15, 2008. After that date, the rooms will be on space available at prevailing rates.

To use this form complete the information in each box than go to your Browser "File" heading, click on "file" a drop down menu will appear, click on Print, click on OK and the form should print out on your printer. YOU WILL NOT BE ABLE TO SAVE THE COMPLETED FORM ON YOUR COMPUTER. If you want a copy for yourself print two copies.

REGISTRATION FORM

Registration includes Table, Swap Pin, Registration Pin and Early Registration Pin (if timely).
Breakfast includes the Breakfast Pin, but you MUST be at the Breakfast to receive this pin.
Extra tables are available at a reduced price (no pins at the reduced price).

Name:

Guest:

Address:

City:

Other Address:

ST: Zip

Province

Country:

Registration No.

Will you be staying at the Tuscany?

Extra Table

If YES, How many nights?

Breakfast

Are you sharing a Room?

Total

If yes, with whom:

Make checks payable to CLPTA

Mail Check and Registration form to

PDG John Holland

Phone: 702-614-8654

1770 Autumn Rust Drive

email: newlife69@cox.net

Las Vegas, NV 89119-0408