Registration Form 2014

PFLAG Carolinas Conference March 1, 2014 Saturday 9:00 am – 4:30 pm

At Replacements, Ltd. 1089 Knox Rd. McLeansville, NC, 27301 Exit 132 off Interstate 85/40, between Greensboro and Burlington Registration is $20. Check-in will begin at 9:00 AM. Coffee and juice and snacks will be available when you sign in.

Lunch is included in the registration fee and will be provided on site.

Program will begin at 9:30 AM.

Questions: Contact  Linda or Mac Stroupe, PFLAG Greensboro, at 336-373-8209, home, or 336-420-0120,Linda’s cell. It’s fine to leave a message.

Email registration to  mac.stroupe72@gmail.com  

Put “PFLAG” in the subject line.

Mail check and registration form to: PFLAG Greensboro P.O. Box 4153 Greensboro, NC 27404 Make check payable to: PFLAG Greensboro. Registration deadline: No deadline – you can even register at the door, but those who register prior to Feb. 20 will be entered in drawing for door prizes. Complete information below and return by email or US mail. _____________________________________________________________________________ Name: _______________________________________________________________________ Member of PFLAG Chapter: ______________________________________________________ (if any) Email Address: ________________________________________________________________ Phone: ______________________________________________________________________

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