2003 MidStates Convention June 20 to 22, 2003

Sponsored by the Astronomy Club of Tulsa at the University of Tulsa,  Tulsa, Oklahoma

For additional registration information access and events schedule see our Web page at:

www.astrotulsa.com/msral2003/2003MSRAL.htm          Email info@astrotulsa.com

or call John Land 918-357-1759 and leave us a message how to contact you.

PLEASE DO NOT MAIL THIS FORM. Email a copy of the completed form to John Land at astroland@gbronline.com and bring your registration payment to the convention

Please PRINT all information clearly

Primary Registrant’s Name __________________________________________________     Adult  or Student

Address __________________________________________________________________

City / St / Zip  ______________________________________________________________

_____

E-mail ____________________________________________________

Phone ( __________ ) _______________________________________

___

Astronomy Club __________________________________________________________       CIRCLE   ONE BELOW

Registrant 2 Name _______________________________________________________         Adult – Student - Guest

Registrant 3 Name _______________________________________________________         Adult – Student - Guest

Types of registration:  At least one person should hold a full  registration

Full Registration entitles you to a free group picture and entry into all door prize drawings

   Adult $ 35    Student $ 25 < High school or college students

Guest Registration $7.50 each –not entitled to picture or door prizes but

 Guests may attend all lectures and observing sessions

Children under 7 free with adult supervision.

Enter Number of Registrations                                                                                  Total Registration

Adult _____  x $ 35    Student ______  x $25  Guest _____ X $ 7 50             $ ____________

2003 MSRAL T-Shirt  $10 each -  Check Sizes below                                 Total T-Shirt Cost

  ________ M ______ L ________ XL __________ XXL             $ ___________

Meals are served on same level with Lecture and Vendor halls at TU.

Both Full and Guest must pay for meals separately or eat elsewhere 

Fri PM Bar BQ        Sat  Lunch  12 PM     Sat PM Keynote Banquet 7 PM               Total Meals Cost

$ 10 _________      $ 9 ____________      $ 12 _______________                                 $ ___________

______ Continental Breakfast $ 3  for overnight guests only

College Dorm Suites are available for on-campus lodging

Due to the College nature of housing mixed sexes may not share a room.

 **** Due to changes in lodging

All Rooms are $25 each per night      include linens and pillows                            Total Room Cost

 Fri ____  Sat _____           M __  F ___      Gender of Occupant                                $ ___________

                                                                                                      Total Cost     $ _________

Make Checks to:   ASTRONOMY CLUB of TULSA