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Kally Jo Surbeck

kally Surbeck


Última Atualização: 8/6/2009

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Sexo: Female
Status: Solteiro
Idade: 35
Sinal: Câncer

Estado: WYOMING
País: US
segunda-feira, fevereiro 23, 2009 

ROMANCING THE ROCKIES CONFERENCE REGISTRATION

Special Event:

An Evening With Sherrilyn Kenyon and Dianna Love<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />....

Sponsored by Colorado Romance Writerstm....

May 1, 2009  from  6:00 – 10:00 pm....

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Event Includes:  Plated Dinner with Sherrilyn Kenyon delivering the keynote address, 2 autographed copies of their recent releases, cash bar, silent auction, and 4 ticket holders will be drawn at random to sit with Sherrilyn and Dianna for dinner.....

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Limited to first 30 paid registrants.  First come, first serve. Cost: $75.00....

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Name ....





Address





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Phone Number





E-mail Address





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Friday Evening Dinner Choice  (circle one):  

·        Riesling Chicken (Crispy 6 oz Breast of Chicken with Wild Mushroom Riesling Sauce, Vegetable Medley, and Garlic Mashed Potatoes)

·        Mahi Mahi with Ginger Aioli (Grilled Mahi Mahi served with Roasted White Wine Garlic Sauce)

·        Pasta Primavera: Sateau of Vegetable Medley with White Wine Cream Sauce topped with Parmesan Cheese.....

***ANY SPECIAL DIETARY NEEDS or ALLERGIES?_________________________________***....

CRW member?          Yes           No

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Extra Event Tickets for Significant Others/Guests:
Friday Keynote Dinner Ticket - $75 each   .

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Quantity needed: ______      Total amount enclosed: _______________

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Please make your check payable to Colorado Romance Writers and send to CRW c/o Louise Suit, Conference Registrar, P.O. Box 448, Eastlake, CO 80614-0448  ....

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Photocopies of this form are accepted.  ***NO refunds/cancellations will be granted.*** ....

Registrants are responsible for all returned check fees.....