MAIN APPLICATION
2001 Highpointers Convention & Banquet
15th ANNIVERSARY - July 23 - 28
Coordinators: Gene and Lillian Elliott Assistants: Joe and Mary Howard

LIMITED NUMBER FOR CLOSING BANQUET ONLY
PLEASE COMPLETE ALL AREAS - TYPE OR PRINT

Person 1  Person 2 
Telephone  Email 
Children: Name and Age (If more than 4, list names, ages, number conventions on back)
Age: 
Age: 		 Age: 
Age: 

Address: 
City  State  Zip

No. Conventions Attended:
Person 1  Person 2  ; Children: 1)  ; 2); 3); 4)
DATE OF ARRIVAL:  LODGING: Host Site  Motel/B&B

ITEMS TO BE PAID WITH APPLICATION AND RECEIVED BY APRIL 20TH

Item Submit Additional Forms $ Amount
Camping Fee at Host Site 62 & Under       62 and Older
Closing Banquet Activity Form
T-Shirt Activity Form
Evening Star Cruise Activity Form
Canoe/Pontoon Activity Form- Make reservations now but pay at time of trip.
Total

Make Check Payable to: "MARYLAND 2001" - Registration Deadline: APRIL 20TH
Mail to: Gene and Lillian Elliott
278 Hoye Crest Road
Oakland MD  21550
Only One-half of banquet fee and camping fee will be refunded with written request until June 1st, 2001
Questions: Please contact us at: lvemdhp@aol.com or address above
Oakland-Deep Creek Lake is a highly visited area - Don't delay - register today