Name: ______________________________________________________
Address: ________________________________________________________
________________________________________________________________
Telephone Numbers:
__________________________________
__________________________________
E-mail: ___________________________________
Chapter Name: _______________________________________________
Chapter Number: __________________________
Are you the Queen?
YES NO
(Please circle yes/no)
We have added that you may make payment by one or four payments:
Full Payment: $175.00 or Four Payment Plan: 4 x $43.75 = $175.00
(Payment plan final payment is due by July 1, 2010.)
Should it be necessary to cancel, notification to
Marilyn M. Mancini must be before the following dates to receive percentage of refund:
100 % May 1, 2010/ 50 % June 1, 2010/
25 % July 1, 2010
No refunds after July 2, 2010
I have read and understand the refund policy.
Name: ______________________________________________ Date: _____________

Mail Registration Form & Payment to:
HAT PACK OF 2010 “Steppin’ Out”
Marilyn M. Mancini
1515 North Lincoln Avenue #76
Springfield, Illinois
62702
Please make checks payable to:
HAT PACK of 2010 “Steppin’ Out”
Should you like a receipt, please send a self-addressed stamped envelope. Packet with Hat Pack of 2010 “Steppin Out” information will be given at time of registration upon your arrival.
DEADLINE FOR RESERVATION – AUGUST 15, 2010
Event Hotel is the Abraham Lincoln Presidential Hotel & Conference Center, 701 East Adams, Springfield, Illinois 62701.
Reservation Number 1/866-788-1860.
HOTEL RESERVATIONS ARE TO MADE BY INDIVIDUAL.
Please register early and mention Hat Pack or Red Hat Society to receive special room rate ($80 + taxes, up to 4 to a room).
FOR MORE INFORMATION/QUESTIONS CONTACT:
MARILYN M. MANCINI
217/753-5301 (Home # and voice mail)
Please leave message and a call will be returned a.s.a.p.
E-mail:
mrlynmancini@netscape.net or
marilynmmancii@sbcglobal.net