THE REGISTRATION FORM

THIS FORM IS FOR GAB 2004 CONVENTION REGISTRATION. MAIL OR FAX THIS FORM TO GAB.

INFORMATION ON ROOM RESERVATIONS IS ON THE FOLLOWING PAGE. MAKE ROOM RESERVATIONS DIRECTLY WITH WYNDHAM HOTEL THE LAST DATE GAB CAN GUARANTEE NEGOTIATED ROOM RATES IS: MAY 20, 2004

NAME__________________________________________________________________

COMPANY/ CALL LETTERS_______________________________________________________________

MAILING ADDRESS ____________________________________________________

CITY________________________________STATE___________ ZIP _____________

NAMES OF ALL IN YOUR PARTY FOR NAME TAGS: COMPANY (if different from above)

_________________________________________ _________________________

_________________________________________ ________________________

2004 CONVENTION REGISTRATION

GAB Member Stations/Associate member (Employee/Spouse)

Early Registration (Prior to May 20^th) $150.00/Person ___________

Late Registration (May 21^st Ð June 1^st) $175.00/Person ___________

GABTime Station Members (Employee/Spouse)

Early Registration (Prior to May 20^th) $ 75.00/Person ___________

Late Registration (May 21^st Ð June 1^st) $100.00/Person ___________

NonMember Stations/Individuals

Early Registration (Prior to May 20^th) $200.00/Person ___________

Late Registration (May 21^st Ð June 1^st) $225.00/Person ___________

TOTAL THIS REGISTRATION $___________

All in your party must be listed above for nametags. ____ Enclosed is a check.

Mail Registration Form with check to: Jean Nance, GAB 2004 Convention

8010 Roswell Road, Suite 150

Atlanta, GA 30350

OR You may pay by credit card by: First faxing this form to Jean Nance at 770-395-7235

then call her at GA toll free 1-877-395-7200 to give required credit card information.

BE SURE TO MAKE YOUR ROOM RESERVATIONS WITH The Wyndham DIRECTLY. SEE THE PREVIOUS PAGE. SEE YOU in Columbus JUNE 11-13, 2004!

THE REGISTRATION FORM