2016 MD-34 LEADERSHIP CONFERENCE
SAMFORD UNIVERSITY
800 LAKESHORE DR.
Birmingham, Alabama 35229
August 13, 2016
REGISTRATION FORM
Name________________________________________________________________
Address________________________________________________________________
Phone_____________________E-mail______________________________________
Lions Club__________________________________ Position_____________________
(Registration includes morning and afternoon snacks, lunch, and all seminars and handouts)
Registration fee = $ 20.00 Make checks payable to: Alabama Lions MD-34
c/o PDG Judy Pritchett
1320 Meadowood Lane
Oxford, Al 36203
Phone: 256-542-2337
Judee.pritchett@gmail.com