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Reg. # ____________________
Date received ______________
Check # ___________________


2011 POCI Convention Registration Form
July 5-9, 2011 Bowling Green, Kentucky
(Tuesday - Saturday)

Everyone attending the convention must register - even if not entering a car
Register On-Line with Credit Card at POCI.org or use this mail-in form

Registration Fee: $49.00 (POCI Members)
3 Month Membership + Registration Fee: $59.00 (Non-POCI Members)

(NON-REFUNDABLE) Check or Money Order only made payable to: 2011 POCI Convention

Name ________________________________ POCI Number _______________
Mailing Address ________________________________________________________________
City ________________________________________ State _____________ Zip _______________
Phone Number ___________ Cell Number ____________

Email Address _________________________________________________________

Call for Convention information:

Entourage Management - Registration Questions 270-842-1148
Art Barrett - Convention Questions 417-737-1469
Dave Bennett - Convention Questions 612-750-2316

Hotel Reservations are the responsibility of each individual
Mention POCI 2011 convention to get special rate.
Convention Center Area Hotels
Holiday Inn: (Host) 270-745-0088
Courtyard By Marriott: 270-783-8569
Hilton Garden Inn: 270-781-6778
Scottsville Road Hotels ( in order of distance, closest to convention center listed first )
Country Inn & Suites: 270-781-7200
Baymont Inn: 270-843-3200
Hampton Inn & Suites: 270-842-4100
LaQuinta Inn & Suites: 270-783-0083

Mail this form to:
POCI 2011 Convention
Entourage Management
Post Office Box 51166
Bowling Green, KY 42102

Activity packets mailed to registrants after March 1, 2011.

Source: LS2GTO.com
 
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