JANUARY 31, 2021

RP FUNDING CENTER
701 W. LIME STREET
LAKELAND, FL 33815

5:00 P.M.
Preshow Dining
Group Rate - $17.95

Show
Group Rate - $34.00

TOTAL FOR BOTH - $51.95

 REGISTRATION FORM

Need check mailed to:

Christine Towers
8810 Eagle Watch Drive
Riverview, Fl 33578
Or
Contact Christine if you wish to use
CASH APP

We have committed to 20 attendees and need your check &

Registration form by September 9, 2020.

But will take payments till December 1st or until we reach

Attendance of 40.

Red Hat attire required, no big hats as there will be people

sitting behind us.
 SHAKE RATTLE & ROLL
REGISTRATION FORM
Please print, fill out and mail to:
Christine Towers
8810 Eagle Watch Drive
Riverview, Fl 33578
Chapter Name:____________________________
Queen's Name:____________________________
Email:__________________________________
Phone:__________________________________

Attendees Name:__________________________
RHS #_________________

_____Pre-Show Dining - $17.95     ______Show - $34.00

Total for both dining and show is $51.95

Cannot just sign up for dining without signing up for show,

but can sign up for show and not the dining.

Any questions email:

PRIMETIMEBELLE@AOL.COM
OR
LADYBLAIR@AOL.COM