
| Convention Package includes all events | $125.00 |
| Registration Fee all must register Welcome Party Annual Banquet Six Flags Trip Farewell Banquet |
$30.00 $15.00 $25.00 $48.00 $25.00 |
| Red Orange Yellow Green Blue Purple |
$50.00 $100.00 $150.00 $200.00 $250.00 $500.00 |
| Annual BFLAG Membership Dues | $12.00 |
| BFLAG “Life Membership” | $300.00 |
| Person’s full name | _______________________ |
| Street address 1 | _______________________ |
| Street address 2 | _______________________ |
| City | _______________________ |
| State | _______________________ |
| Zip code | _______________________ |
| Email address | _______________________ |
| Phone Number | (______) - _____ - ________ |
| Special Instructions | ____________________________________ ____________________________________ ____________________________________ ____________________________________ |
| By Email: | President@BFLAG.org |
| By Phone: | 240-522-0093 |
| By Mail: | BFLAG 612 Holland Street Cumberland, MD 21502 |