MEETING & EVENTS REGISTRATION
2005
Print out this page, fill it out and send the page and check to Leroy Mikeska at the address below
(We will confirm registration by facsimile or
e-mail if these are provided) or print PDF Registration Form
39th Annual Meeting,
|
|
|||
|
Name: |
|
|
|
|
Spouse Name (if attending): |
|
|
|
|
Address: |
|
|
|
|
City, State, ZIP: |
|
|
|
|
Phone: |
|
|
|
|
E-mail: |
|
|
|
|
Children Names: |
|
Age: |
|
|
(if attending) |
|
Age: |
|
|
|
|
Age: |
|
|
|
|
|
|
|
|
Calculate fees below |
|
|
|
|
Fee total from below: $________________ |
|
|
MAKE CHECKS PAYABLE TO: Texas Council SWCS
Mail registration form along with check to:
c/o Leroy Mikeska
312 South
PRE-REGISTRATION DEADLINE: June 1st
HOTEL REGISTRATION DEADLINE: MAY 15th
DOUBLETREE HOTEL AIRPORT
Loop 410 North,
210-366-2424 Be sure to say the registration is for the SWCS block of rooms.
Do NOT call the 800 number, they may not honor the special rate.
|
|
|||
|
|
|
No. of |
Extended |
|
General Meeting
Registration |
|
|
|
|
Guest (Speaker/Exhibitor) |
No cost (NC) |
________ |
NC |
|
Regular Member |
$75.00 |
________ |
________ |
|
Student Member |
$40.00 |
________ |
________ |
|
Non-Member |
$90.00 |
________ |
________ |
|
Late and on-site (after June 3rd) |
$90.00 |
________ |
________ |
|
Technical Session
Registration: |
With General Reg./Separate |
|
|
|
Wednesday morning Technical Tour (CEUs are
available.) |
NC/$20.00 |
________ |
________ |
|
Thursday
Technical Session w/ lunch: (CEUs are available.)
|
NC/$60.00 |
________ |
________ |
|
Activities below are available for General Meeting Registrants only (both non-members and members) |
|||
|
Golf Tournament (Wednesday am, Lunch included) |
$50.00 |
________ |
________ |
|
Family Night at the hotel. (Thurs., includes meal and entertainment) |
$30.00 |
________ |
________ |
|
Thursday Luncheon |
Included in |
|
|
|
Extra Luncheon Ticket |
$20.00 |
________ |
________ |
|
Wednesday Evening Social including a Mariache Band |
Included in |
|
|
|
TOTAL AMOUNT (transfer to top) |
________ |
||
![]()
Send comments to:
E-MAIL: Karen Green