Registration Form - Big Island Bash Speakers Convention (An AA Activity) King Kamehameha's Kona Beach Hotel Kona Coast Hawaii

Last name, First Name:	Last name, First Name:
A.A.: Al-Anon: Friend: Double Winner:	A.A.: Al-Anon: Friend: Double Winner:
Address: Telephone: City: State: Zip: Email:
Registration: (includes Saturday Luau Banquet) ($135.00 after March 20)	Registration: (includes Saturday Luau Banquet) ($135.00 after March 20)
Fishing Tournament: $210	Fishing Tournament: $210
Golf Tournament: $70	Golf Tournament: $70
No Booze Snorkel Cruise: Sold Out Snorkeling, Breakfast & Lunch included	No Booze Snorkel Cruise: Sold Out Snorkeling, Breakfast & Lunch included
Tennis Tournament: $20	Tennis Tournament: $20
Bash Dash: $20	Bash Dash: $20
Total: $	Total: $
Total Amount Enclosed: $
Make Checks Payable to: BIG ISLAND BASH and send to: P.O. BOX 390727 KAILUA-KONA, HI 96739 NO REFUNDS - Registration may be transferred. (Note: Convention Registration & Activities Money must accompany this registration.)