"The Voice of Public Benefit Flying" sm
Air Care 2004 Form


Air Care 2004 Conference Registration Form

Please Register the Following Persons to attend AIR CARE 2004 April 30 - May 1:
    PRINT NAME (as desired on name tag)    Attend Conference?   Friday Dinner? (circle y or n)

1)                                                                                     Y   N                     Y   N

2)                                                                                     Y   N                     Y   N

3)                                                                                     Y   N                     Y   N

4)                                                                                     Y   N                     Y   N

5)                                                                                     Y   N                     Y   N
      (for additional persons continue the list on another copy of the form)

Form completed by: __________________________________________

Phone Number__________________________  Group__________________________

Email address_________________________________

Number at conference ___ x $35  = _____ plus  No. at Friday dinner  ___ x $30  =_____

        Total remitted: $____________ by mailed check #_________  

or check this box if bringing your check to the conference ______               

NOTE: Payment by check is preferred and can be mailed to us or brought with you to the conference.  

Signed ________________________________________________________

FAX COMPLETED FORM TO: 603-806-7937 BY Fax deadline   April 27, 2004
   Or MAIL TO ADDRESS BELOW BY   Mail Deadline    April 23, 2000

AIR CARE 2004 Registrar
Angel Flight of Georgia
2000 Airport Road  Suite 227
Atlanta, GA 30341    

AFTER THOSE DATES call us at (770) 452-7958 ext 3, fax us at 603-806-7937 , or 
email us at
mailto:angeladmin@aol.com for late registration and on-site registration information.

See the bottom of our conference page for hotel information - www.aircareall.org/aircare2004.htm   
Questions? Send them to conference@aircareall.org

Home Listings Patient Transport Volunteer Pilots News Newsletters Awards Program Conferences Resources Relief Info Membership Donations History Contacts/Board   Site Map - Contents

email:                         mail@aircareall.org 
Office and Administration:       admin@aircareall.org
to our Flight Following newsletter list!  CLICK HERE TO  Join Our Mailing List  
Air Care Alliance Organizational Contacts:    See Board and Contact List
Send questions or comments about this web site to webmaster@aircareall.org  
Copyright 1998 through 2013  Air Care Alliance  Last modified: October 21, 2013