Required items highlighted in red.
Items incurring charges highlighted in blue.
Number of persons registering
1 2 at $255 per person
Name #1
Name #2
Address
City
State/Province
Zip/Postal Code
Country
Telephone
* E-Mail
Are you a member of NARGS?
yes , no , I wish to join NARGS at $30 per household
Check if you plan to show slides
Check if registrants are interested in:
Optional Friday Dinner
#1 #2 at $35 per person
Check your Saturday Banquet meal choice here
Registrant #1
beef fishvegetarian
Registrant #2
Registration Fees
(Includes two continental breakfasts and Saturday night banquet)
Registration
Friday Dinner
NARGS Membership
Total Due
Method of Payment:
Check VISA Master Charge
Credit Card Number
Expiration Date
Comments
Do not use this form for cancellations or changes.
* If provided, your email address will be used to send you a copy of this submission.
If you do not want to send this over the internet or you want to pay by check, print this form and mail to