Please return to:
Michigan Tourism Summit, P.O. Box 219, Walloon Lake, MI 49796
or Fax to: (231) 535-2227.


Name: _______________________________________________


Organization: _________________________________________


Address:_____________________________________________


City: _______________________ State: _____ Zip: _________


Phone: (_____)______________________


E-Mail: _____________________________


Make payment to:
Northwest Lower Promotions
$40.00 per person, includes Lunch, SUMMIT & Reception


Credit Card # ______________________________________

Expiration Date ______/_______


(Please copy form for multiple registrations)


Signature ________________________________________________