THE NSA 1999 CONVENTION REGISTRATION FORM

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_______

PLEASE ENTER NUMBER OF PERSONS ON LEFT AND TOTAL ON RIGHT

________ X $40 Three-Day Registration for NSA Convention’99 July 9-11, 1999 $__________

(Includes Admission to Stereo Theater, Workshops, Trade Fair & Exhibits)

________ 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 $__________

AWARDS BANQUET 7:00PM SATURDAY EVENING JULY 10

________ 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 $________

TOURS MONDAY JULY 12

________ X $30 Door County Tour - Door County resembles New England more than the Midwest with it's State
               Parks, Historical sites, several Lighthouses and Fishing Villages. We will stop for a Fish 
               Boil for lunch. Lunch is included in tour price. 9:00AM -4:30 PM $_______

________ 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 $_________

NSA PREREGISTRATION CUT-OFF DATE 6/28/99,

NO NSA REFUNDS AFTER 7/1/99

Mail completed form to:

NSA ’99
PO Box 33
Milton, WI 53563-0033

QUESTIONS/INFORMATION:

Harry Richards, Convention Chairman
11506 N.Laguna Dr.
Mequon, WI 53092
Phone/Fax (414) 242-0649
Email: hjrich@execpc.com