Symposium fee for AFA Leaders is $165.00. Fee includes symposium sessions, coffee breaks, sandwich lunch, reception/buffet (includes two drink vouchers) and continental breakfast. Please note that AFA Leadership Registration Fee is limited to National Officers, Region Presidents, Directors, State and Chapter Officers or their designees.

Name ___________________________________________________

Rank/Title ______________________________________________

Chapter  ____________________________________________

Address _______________________________________________

____________________________________________________

Phone ________________________ Fax ________________________

Email ____________________________________________________

   Mark here to request extra luncheon ticket. Cost of ticket is $25.00.
   Mark here to request extra reception/buffet ticket. Cost of ticket is $130.00.
Please provide name of guest attending: ___________________________

TOTAL AMOUNT: $ _________________

Check enclosed (payable to Air Force Association)

Charge to: Account #: ____________________ Exp. Date:_______
AmEx
VISA
M/C

Signature: _____________________________________________

Advance registration closes Wednesday, February 6, 2002.
No refunds can be made for cancellations after this date.

**Picture ID will be required to pick up tickets and badges.

Please mail this form to: Air Force Association, Attn: Barbara Coffey, 1501 Lee Highway, Arlington, VA 22209-1198, or fax to: (703) 247-5830. If you have any questions, please call (703) 247-5805.

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