P.O.BOX 43578
LOS ANGELES, CA 90043
323/964-3721 OR Ibwa_2000@yahoo.com
https://members.tripod.com/ibwala/ibwa.htm
CONTACT US FOR INFORMATION REGARDING I.B.W.A.CONFERENCE SCHEDULED TO BE HELD FRIDAY EVENING AND ALL DAY SATURDAY - JULY 28 AND 29TH, 2000 (WE WILL NOTIFY YOU OF THE EXACT TIME IN THE COMING WEEKS) - IN COMMUNITY CONFERENCE MEETING AREA AT FOX HILL MALL, SECOND LEVEL, CULVER CITY, NEAR WIDE VARIETY OF SHOPS, RESTAURANTS AND HOTELS!
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IBWA CONFERENCE REGISTRATION AND MEMBERSHIP APPLICATION/RENEWALF0RM
Download and/or print out this form and send in with your
check or money order to address at top of this page.
CHECK ONE:
[ ] $25 MEMBER REGISTRATION FEE (DUE BEFORE MAY 25, 2000) IS ATTACHED.
[] $35 EARLY BIRD NON-MEMBER REGISTRATION FEE IF PAID BY JUNE 10TH, 2000
[ ] $50 NON-MEMBER REGISTRATION FEE
(NOTE: BE PREPARED TO PAY FOR MEALS AT YOUR CHOICE OF RESTAURANTS OR CARRY OUT AT MODERATE PRICES, LOCATED IN OR NEAR THE MALL.
NAME (Please print) ________________________________________ Submitted: / /2000
ADDRESS:_____________________________________________________________________________________
CITY _________________________________STATE__________________________ZIP CODE ____________
PHONE NUMBER/AREA CODE: (_____)______________________________________________________
Fax:___________________________________Email:________________________________
Writing/Artistic specialty AND/OR area of interest: ___________________________
NOT A MEMBER? YOU MAY JOIN BY CHECKING APPROPRIATE BOX AND INCLUDING
MEMBERSHIP AMOUNT WITH YOUR REGISTRATION FEES FOR CONFERENCE
[ ] $45 General/Associate Member [ ] $75 Family (maximum of two members)
[ ] $30 Seniors and Students [ ] $20 Newsletter Only
[ ] $ ______ donation [ ] $95 Family or small organization
* *Dues and donations
may be tax deductible