IFFR Member Name:
Email: 
Phone: 

HOTEL(deadline for special rates is 9/26):
Check-in date: 
Check-out date: 
How many room(s): 
How many guest per room: 
Credit card type (Visa and MC only): 
Card number: 
Expiration date: 
Code: 
Name as appears on card: 

AGM LUNCH ($30 limited to the first 50 registration):
Number attending: 
Meal choice (chicken, pasta or vegetarian):
 

When you click "Submit" below, your response above will be transmitted to Larry Wolfsen and Peter More.
Alternatively, you can print the form and fax to Larry Wolfsen at 831-469-4329.