Show Registration
For
The 41st National Exhibition of the American Dahlia Society
Hosted By
Central States Dahlia Society
And the Midwest Dahlia Conference

The 6th through the 10th of September 2007


First Name (s):                                      Last Name (s):

_____________________                       _____________________

1st person:                                            1st person:                   

_____________________                       _____________________

2nd person:                                           2nd person:

_____________________                       _____________________

Home Society:                            Or       Guest Of:

_____________________                       _____________________

Street Address                                      City, State or Province, Zip

 _____________________                      _____________________

Telephone Number                                 E-Mail Address


Full Registration:  (Registration, Thursday evening Hospitality Reception, Friday Tour and Luncheon, Saturday Luncheon and evening Awards Banquet, Sunday Tour and free barbecue/picnic, and Sunday evening seminars.)

Full Registration:  $145.00   (US) per person by July 31, 2007          No. ____

                             $165.00   (US) per person after July 31, 2007       No. ____


Partial Registration:   (Registration, Saturday Luncheon and Awards Banquet, Sunday Tour and free barbecue/picnic and Sunday evening seminars.)

Partial Registration:  $100.00   (US) per person by July 31, 2007      No. ____

                                  $120.00  (US) per person after July 31, 2007   No. ____


Saturday Luncheon:  Deli Buffet


Awards Banquet:  Menu Options

       1. Mixed Grill- Filet Mignon and Oven Roasted

            French Chicken _____________

       2. Citrus Crusted Salmon _____________

       3. Roasted Vegetable Pasta _____________

       4. Special Dietary Requirements                              _____________

All of the above selections include soup, salad and Chef's choice of vegetable and potato and a sweet table dessert to complete the meal.


Optional Monday Tour:  Downtown Chicago

Visit the Sears Tower, Navy Pier and enjoy a Chicago River architectural cruise, and lock and harbor tour out onto Lake Michigan aboard a Wendella sightseeing cruise ship.

______________ $_____________________

Number of people $40.00  (US) per person


Zanies Comedy Club Offer

____________

Number of passes requested to attend Zanies Comedy Club on Friday evening, September 7th.  The first fifty registrants indicating a desire to attend this adult comedy club will receive a free pass. This is approximately a thirty-dollar value.


Total Remittance enclosed for Registration(s) and Monday Tour(s):

$_________________________


Please complete your registration forms and send the checks made payable to: Central States Dahlia Society

Please direct your checks and completed registration forms to our show registrar:

Charmaine Wuestenfeld
320 Cloverdale Lane
Schaumburg, Illinois 60194
(847) 755-1520

Charmaine will be sending you a written confirmation for your total registration.