AFGE COUNCIL 171 REGISTRATION FORM

(please provide a registration form for each attendee)

LOCAL: _____________________________

DISTRICT: __________________________

DELEGATE NAME _______________________________________________________

MAILING ADDRESS _____________________________________________________

_______________________________________________________________________

PHONE: ___________________________

EMAIL ______________________________

DATE OF ARRIVAL_________________________

DATE OF DEPARTURE____________________________

Defcon has reserved a block of rooms for us at the rate of $84.00 plus tax (14.57%) per night. Rooms will be held until March 24^th at this rate. Please be sure to mention that you are with the Defcon group. The hotel provides complimentary shuttle services between the airport and hotel.

HOTEL RESERVATIONS CAN BE MADE BY CONTACTING:

Hilton St. Louis Airport Hotle

10330 Natural Bridge Road

St. Louis, MO 63134

1-800-HILTONS or (314) 426-5500

Please fax this registraion for to Kelley Dull for finalization of logisitics.