REGISTRATION FORM

85th Annual New Mexico LULAC State Convention

May 23th, - May 25th, 2014
Hotel Encanto de Las Cruces
705 South Telshor Blvd., Las Cruces, NM 88011
Convention Registration Packets:
___$110 Delegates/Alternates (includes: $20 Delegate registration, 1 luncheon and 1 banquet)
___$110 Non-delegates/alternates LULAC Member: (includes: 1 luncheon and 1 banquet)
___$20 Delegate Registration Fee
___$40 Luncheon (member) $45 (non-member) ___$50 Banquet Dinner (member) $60 (non-member)
Total________

CONVENTION INFORMATION: (please print clearly)

NAME: _____________________________________________________
ADDRESS: __________________________________________________
CITY: ______________________________________________________
PHONE: _____________(H)________________(W)______________(C)
E-Mail: ________________________________________________
Council No.__________

Check One: Delegate____ Alternate_____ Member/Guest_____

Make your room reservations at:

Hotel Encanto de Las Cruces: 705 South Telshor Blvd., Las Cruces, NM 88011
(575) 522-4300
Convention Hotel Room Rate: $88.00
Cut-Off Date: 5/10/2014
SPECIAL NEEDS:
DO YOU NEED A SPECIAL MENU OR DO YOU HAVE FOOD ALLERGIES?

Please note:_________________________________________
Mail Registration with Check to: New Mexico LULAC
C/O LULAC Council 120
P.O. Box 1324
Las Cruces, NM 88005 (575-312-6327)