2008 CONVENTION REGISTRATION FORM

September 26-28, 2008

Red Hat Chapter Name___________________________________

Chapter # ______________

Name of Queen _________________________________________ SC

Region______________

Your Name _________________________________

Red or Pink Hat ________________________________________________________________

E-mail Address _________________________________________________________________

Street Address _______________________________________________________

City _____________________________________ State ____

Zip Code _________________

Phone Number _______________________________________________________

I WOULD LIKE TO BE SEATED WITH: __________________________________________

(Please list the Chapter Name or Individual Name)

Special Needs: Wheelchair/ Walker, etc. Explain: ________________________________________________________ _________________________________________________________

Special Dietary Needs: Vegetarian, etc. ______________________________________

I hereby grant to SCQC, llc the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of any photographed images of me.

Please acknowledge, by your signature, the above Photo Release & that there will be NO Refund for this Registration:

Signature : ______________________________________

$179 Registration Price (Unchanged for 3rd year)

Registration includes $1 associate membership dues to the SCQC, llc. Associate members are entitled to participate in all open SCQC Events. Membership expires in August 2009.

NO REFUNDS for Membership, Registration Fee, or special purchase options. Registration may be transferred to another member. No On-Site Registration will be permitted. Mail your Convention Registration form to the address below.

For Checks: Make checks payable to ‘SCQC’

Mail Checks and/or Registration Forms To: Sandi Fallowes 5117 Sapp Circle Lake Wylie, SC 29710 _____________________________ ______________________________

Advance Purchase Options: (Include monies with your registration fee)

Convention T-Shirt (circle one): SM MED LG XL 2X 3X

Price $12ea. Qty: ______

Convention Pin Price $ 7ea. Qty: ______ ________________________________________________________ __________________________________________________________

A sneak preview of what’s to come:

Friday Theme: Carribean

Saturday Theme: Royalty Reigns - Be your royal title: Queen, Countess, Duchess, Princess, Baroness etc. No Knights Allowed!!!! (Dress the part, walk the part, talk the part! Royal Robes, Gowns, Crowns, and Tiaras are optional but encouraged!) ________________________________________________________________ _________________________________

Reserve at the Convention Host Hotel!

Marriott Columbia 1200 Hampton Street Columbia, SC 29701

Room Rates: $109 Single/Double* $119 Triple/Quad* *per night

Convention Special be sure to ask for the Red Hat Convention Rate

3pm CheckIn … 12 Noon CheckOut .

Availability at this price is limited, RESERVE NOW. We expect rooms to sell out early !!! *This special rate requires booking both Friday and Saturday nights. Additional nights will be available at special rates upon request. To prevent overbooking, reservations must be paid in full and are non-refundable.

To view this beautiful hotel, visit their website link located on the left panel