2017 Fall All State Convention Breezy Point Resort 9252 Breezy Point Drive Breezy Point, MN 56472

EARLY (Postmarked on or before August 31, 2017) ___ Full $75 ___ Full Alumni $70 ___ Full JCY $45 ___ Lunch Only $40 ___ Dinner Only $65 ___ Senate $60

Hotel Accommodations

ON TIME (Postmarked between September 1-30, 2017) ___ Full $85 ___ Full Alumni $80 ___ Full JCY $45 ___ Lunch Only $50 ___ Dinner Only $75 ___ Senate $60

$99.00+tax www.breezypointresort.com Click Online Reservations Select “Any Room” under Accommodation GROUP ID = 191397 Group rate guaranteed through September 7, 2017

LATE (Postmarked between October 1-10, 2017) ___ Full $95 ___Full Alumni $90 ___ Full JCY $45 ___ Lunch Only $60 ___ Dinner Only $85 ___ Senate $80 ON SITE ___ Full $105 ___ Full JCY $55 ___ Dinner Only $95

___Full Alumni $100 ___ Lunch Only $70 ___Senate $80

OTHER ___ Friday Night Only $10 ___ BOD Only $15 ___ Trainings Only $30 NAME ____________________________________________________ PHONE _____________________________________ EMAIL ____________________________________________________ CHAPTER __________________________________ Special Dietary Request (Gluten Free, Vegetarian, etc. If none, mark N/A) ________________________________________ _______________________________________________________________________________________________________ ID COMPETITOR? Debate / Speak Up / Write Up

FIRST TIMER?

Yes / No

Are you a (circle all that apply) Statesman / Ambassador / Senator Lunch: Beef Stroganoff (Braised Beef Tips in rich bordelaise sauce with mushrooms and sour cream. Served with wide egg noodles) Vegetarian Lunch: Vegetarian Wrap (Avocado, Tomato, Lettuce, Mushroom, and Pepper wrapped in a tomato basil tortilla) Dinner: Mousseau Bay Duo (Boneless Chicken Breast and Choice Sirloin. Served with Minnesota Wild Rice) Vegetarian Dinner: Butternut Squash Risotto (Creamy Arborio Rice sautéed with diced butternut squash, fresh sage and asparagus)

Send Registration and check to: JCI Minnesota • 1405 N Lilac Drive, Suite 125 • Golden Valley, MN 55422