CONVENTION REGISTRATION FORM

International Lilac Society

Mackinac Island, Michigan

June 6, 7, 8, 9, 2007

Name_____________________________________________________________

Address___________________________________________________________

State/Province___________________________Zip/Postal Code______________

Phone Number_____________________________________________________

Email_____________________________________________________________

Name on Name Tag__________________________________________________

Registration Fee: $170 US

Youth Registration Fee: $140 US

After May 12, 2007:

Registration Fee: $180 US

Youth Registration Fee: $150 US

Registration includes: welcome reception, Lilac and Island tours, Awards and President’s banquets, ferry tickets, luncheons, Hospitality room, transportation for convention tours and other activities.

 Pay by check

 Pay by Credit Card

Credit Card Number____________________________________

Credit Card Expiration Date______________________________

Send this form and all fees to:

Nicole Jordan, ILS Registrar

15500 Harrowgate Rd

Chester, VA 23831

For further info: Contact Convention Registrar Nicole Jordan:

804.520.4602 (home, PM & weekends),

888.278.9279 (toll free-weekdays),

804.768.9562 (fax),

email: Njordan236@aol.com