"The
Voice of Public Benefit Flying"
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AIR CARE 2005 Conference Registration Form Please Register the Following Persons to attend AIR CARE
2005 April 29 - 30: 1) Y N Y N Y N 2) Y N Y N Y N 3) Y N Y N Y N 4) Y N Y N Y N 5)
Y
N
Y
N Y
N Form completed by: __________________________________________ Phone Number__________________________ Group__________________________ Email address_________________________________ Fee for 1st attendee from your group.- $ 35
$ 35 first
attendee TOTAL submitted: = $ ________ Number attending Friday dinner ______ (No extra charge for meals included in lodging fees) Number attending Saturday dinner ______ (No extra charge for meals included in lodging fees) Note: for those staying elsewhere we will charge a meal cost for those eating
in the dining room,
collected on site. NOTE: Payment by check is preferred and can be mailed to us or brought with you to the conference. Circle one: Check has been mailed in or Will Bring Check to Conference Signed ________________________________________________________ FAX COMPLETED FORM TO: 603-806-7937 BY
Fax deadline April
27, 2005 NOTE - 4-13-05: the conference is filling rapidly. If it fills to capacity we may have to terminate registrations. Please register as soon as possible to assure your seat. It would be best to FAX your registration form.
AIR CARE 2005 Registrar AFTER THOSE DATES
call us at (770) 452-7958 ext 3, fax us at 603-806-7937
, or 4-12-05
LATE BREAKING NEWS: THIS CONFERENCE IS ALMOST SOLD OUT. DO NOT DELAY This is for the
conference registration; also see the
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