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NAME___________________________________________________
BADGE NAME____________________________________________
ADDITIONAL REGISTRANTS(Spouses,etc)____________________
BADGE NAME_________________________________________
ADDRESS________________________________________________
CITY________________________________________
STATE________________ZIP/Postal Code______________
PHONE (HOME)_______________________________
PHONE (BUSINESS)____________________________
FAX_______________________________________
E MAIL(Optional)____________________________
Is this your first NSA Convention? Yes_____ No_______
________ X $20 One Day Registration for NSA ´99, Friday 7/9 $__________
________ X $20 One Day Registration for NSA ´99, Sat. 7/10 $__________
________ X $20 One Day Registration for NSA ´99 Sun. 7/11 $__________
________ X $10 Saturday Early-bird Admission 8:00AM to the Trade Fair $__________
________ X $17 Tenderloin Steak, Salad, Baked Potato, Vegetable, Beverage $_______
________ X $17 Lake Superior Whitefish, Salad, Baked Potato, Vegetable, Beverage $_______
________ X $15 Cornish Game Hen, Salad, Wild Rice Stuffing, Vegetable, Orange Sauce $_______
________ X $9 President’s Breakfast 8:00AM Sunday July 11 Breakfast Buffet $________
________ X $30 A half-day trip to the EAA (Experimental Aircraft Association) in Oshkosh, WI. The museum has a collection of more than 85 full size aircraft, including home-built sport planes, military and antique planes. 9:30AM-2:00PM. A box lunch is included. $________ MAKE CHECKS PAYABLE TO NSA ´99 TOTAL $_________
NO NSA REFUNDS AFTER 7/1/99 Mail completed form to:
NSA ´99 QUESTIONS/INFORMATION:
Harry Richards, Convention Chairman Phone/Fax (414) 242-0649 Email: hjrich@execpc.com |
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