SOCIETY OF FORMER SPECIAL AGENTS
OF THE FEDERAL BUREAU OF INVESTIGATION,
INC.
PITTSBURGH CHAPTER
"Golden Triangle Fun
Times"
Mid-Atlantic Regional Conference,
June 3-6, 2004
* Hilton Hotel *
________________________________________________________________________________________
REGISTRATION FORM
(PLEASE PRINT OR TYPE)
NAME_____________________________________________
SPOUSE/FRIEND____________________________________
NAME ON
BADGE____________________________________ SPOUSE/FRIEND___________________________________
ADDRESS_______________________________________________________________________________________________
CITY________________________________________________ STATE___________ ZIP____________________________
PHONE____________________________
FAX_______________________ E-MAIL________________________________
FBI SERVICE AS SPECIAL AGENT 19_____- _______
CHAPTER_________________
CHAPTER DELEGATE
YES___ NO___
________________________________________________________________________________________
REGISTRATION FEES
ACTIVITY FEE NUMBER TOTAL
Registration fee per person
(includes buffet $225 X _______ _______
reception, Friday dinner and boat
tour, Saturday
banquet dinner, two continental
breakfasts,
hospitality room, prizes and gifts).
______________________________________________________________________________
Golf
____ Please check if interested - $40 per person
Please contact Bob Garrity ASAP @ 412-831-0938
so we can set up this tournament.
Please mail checks payable to: "Golden Triangle Fun Times"
Jerry Pino
745 Venango Ave.
Pittsburgh, PA
15209-1223
{Any questions call Ed Stewart - 412-922-4947}
______________________________________________________________________
HOTEL REGISTRATION
Registration must be made directly with the
Pittsburgh Hilton Hotel, 412-391-4600, or 800-445-8667. Please mention the
FSAOFBI for the contracted discount. Reservations for arrival after 6:00 p.m.
require a room deposit or a major credit card guarantee. Registrations must be
made by Monday, May 3rd, 2004, to receive this discount of $99 plus
tax for single/double. Hilton
Pittsburgh, Gateway Center, Pittsburgh, PA 15222.