Print this form, fill out, and send it with payment to the address below

I’ll be there! Enclosed is my check – or – Bill my credit card below

Please register me/us for _______ people @ $199** per person for full program, includes all meals
(2 banquets, 2 breakfasts, 1 lunch).

­­­-- or -----

Please register me/us for ________ people @ $100** per person, for meetings only — no meals.

Student Fees: for full-time students with Student ID only:
$150 for program and meals #:_______or, $75 for program only #:_______.

Name(s): __________________________________, __________________________________
[as you want them to appear on your name tags]

Address Street.________________________ City, ______________State, _____Zip_________)

Phone: (____) _____ - ________ E-mail address (opt.):__________________________________

My check for $________ is enclosed, payable to: Atheists of Florida Inc.

Visa or MasterCard #_______________________________________ Expires ______________

Mail to: AAI Convention P.O. Box 130753 Tampa, FL 33681
For further information: Call Alex (727) 639-9333.

**Special After-Convention gift of DVD or VHS ($25 value) of keynote speakers
if registered by February 28!

Remember, Hotel registration is separate. Call the Hilton Tampa Airport Westshore
before March 27th for special convention rates of only $69 a night, with free airport transfer.
Call 1-800-445-8667, and tell them you’re with the AAI convention.
This deal is a steal at the top of the season!

Enjoy our hospitality! Host Organization: Atheists of Florida Inc.