Registration covers entry to all demonstrations and events including banquet meal.

Please print clearly:
Name: ___________________________________________
Name of spouse/family member:_______________________________________
Address: ______________________________________________
City: ______________________________________________
State: ______________ Zip ________________________
Phone (________) _________________________________
EMail ____________________________________________

Confirmation will be sent via email.
AAW Chapter Name __________________________________

___ Registrant Fee ................................... $ 150.00
___ Spouse Fee........................................ $   35.00
___ Youth Fee (ages 11-17)...................... $   25.00

After March 31st please add a late fee of $35.00 per person ($10 for Youth Fees).
Refunds will be made up to April 15th. A cancellation fee of $50.00 if paid registration is canceled after April 15th.

Total Amount Enclosed .......................... $ _________

Please make all checks payable to:  Southern States Symposium
and mail along with registration form to:

Marsha L. Barnes, Registrar
152 Blackberry Bend
Murphy, NC 28906-9018

Contact: 828 837-6532 or This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Visa and MasterCard for Phone Registration ONLY