FWHS Presents the PST SUMMER CONFERENCE 2004
The
Fort Worth Haiku Society

proudly presents






The Poetry Society
of
Texas'
2004 Summer Conference

Registration Information

name:__________________________________________________

address:_______________________________________________

________________________________________________________
phone number:(___)________

number of people attending: ____________
PST registration fee ______________________ x $20 = __________
lunch menu ______________________ x $17 = __________
banquet ______________________ x $24 = __________
(taxes & gratuities included in meals)
total package per person _______x $61 = $_________

send to: Fort Worth Haiku Society P.O. Box 10681
Fort Worth Texas 76114

make checks payable to FWHS/PST (Fort Worth Haiku Society/PST)
Special Offer: t-shirts with FWHS on the front pocket area and the Prism:Voices of Light logo on the back available for $15 each (sizes M, L, 1X, 2X or up to 5X for additional $5)
offered by Shelly Reedy's Lakebum Signs and Logos
If interested in a shirt, include price in your registration and pick up your shirt at the Conference.
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