ANNUAL SPRING ROUNDUP

SPONSORSHIP-FELLOWSHIP AT WORK

MAY 27-29, 2005

SHANTY CREEK RESORT

ONE SHANTY CREEK ROAD BELLAIRE, MICHIGAN 49615

NORTHERN MICHIGAN INTER AREA

PRESENTS
A WEEKEND OF

FELLOWSHIP-PANELS-SPEAKERS-BANQUET
ICE CREAM SOCIAL & DANCE

TO REGISTER FOR ROUNDUP-PLEASE FILL OUT AND SEND IN THE BOTTOM
OF THIS FORM TO:
NMIA SPRING ROUNDUP
PO BOX 260
EAST JORDAN, MI 49727
(MAKE CHECKS PAYABLE TO : NMIA SPRING ROUNDUP)

USE ATTACHED FORM FOR ROOM RESERVATION REQUESTS DIRECTLY
TO SHANTY CREEK
REGISTER ONLINE AT WWW.SHANTY( REEK.COM/SPRING ROUNDUP

REGISTRATIONS RECEIVED BY MAY 1, 2005 WILL BE ENTERED IN DRAWING FOR
12&12 ON TAPE OR GRAPEVINE SUBSCRIPTION

REGISTRATION FEE - $18.00 PER PERSON
BANQUET FEE - $22.00 PER PERSON

ROUNDUP REGISTRATION FORM NAME(S)

ADDRESS

TOTAL FEES DUE