2009 Sn3 Symposium Registration Form

When:  February 25^th – 28^th, 2009

Where: La Quinta Inn Clearwater Central

              21338 US 19 North

              Clearwater, FL 33765

              (727) 799-1729

Pre-register before Jan. 1^st, 2009 - $50.00 (spouse’s free)

After Jan. 1^st, 2009 - $55.00

Name  ________________________________________

Spouse  _______________________________________

Address  ______________________________________

City, State, Zip  ________________________________

Phone #  (____) ________________________________

Email  ________________________________________

Make Payment to:  Sn3 Symposium

Send Payment to:  Kathy Godfrey

                                3051 Pine Street

                                Clearwater, FL 33763

Email:  KathySn3symposium@knology.net

Website:  http://www.sn3.org/2009/

Vendors: Please use the Vendor Registration Form &

Contact Jon Addison at: (727) 560-7455 or silvcent777@yahoo.com