Jane Austen Society of North America
  North Texas Region
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JASNA-NTX  
Jane Austen Day
Sunday, February 24th
Registration Form

Name:  _________________________________________________________________
 
E-Mail Address:  _______________________________________________________
 
Phone #:  _______________________________________________________________
 
 
Early Registration:
JASNA Member @$27/person              __________    
                                                                                 
Non-JASNA Member @ $32/person    __________
   
# of Guests @ $32/each                        __________     (please list all guest names below)

                                                                                    
Donation                                                 ___________         
 

Total amount due                                 $__________
 
 
Checks may be payable to JASNA-NTX and mailed with this form to:

Vicki Ford
1720 Woodhill Lane
Bedford, TX  76021
 
 Please list guest names below:

 _______________________________________________________________
 
 _______________________________________________________________
 
 _______________________________________________________________
 
 _______________________________________________________________
 
 
See you there!