CSAR 2011 NAS NORTH ISLAND REGISTRATION FORM
September 27 to October  2011
(PRINT AND FILL OUT FORM)

CSAR!
The Society of Combat Search and Rescue

GENERAL INFORMATION

NAME:

STREET ADDRESS

CITY or TOWN

STATE and ZIP CODE

E MAIL ADDRESS

HOME PHONE

BUSINESS PHONE

CELL PHONE

GOVERNMENT, MILITARY
OR CIVILIAN ID #

VEHICLE TYPE & LICENSE
PLATE NUMBER

DO YOU NEED TRANSPORT
FROM THE AIRPORT?

YES I DO

NO THANKS

DO YOU NEED SPONSORED
BASE ENTRY?

YES I DO

NO THANKS

AIRLINE

 

FLIGHT NUMBER

ARRIVAL TIME

HOW DO YOU WANT YOUR NAME TAGS IMPRINTED?

CSAR MEMBER

GUEST  #1

GUEST  #2

GUEST  #3

COST COMPUTATIONS
    - THE SUSTAINING (MEMBERSHIP) FEE IS WAIVED FOR THE 2011 SYMPOSIUM - NO CHARGE REQIRED
      -  SANDY BOX IS $10.00 PER PERSON PER DAY, OR $25.00 PER PERSON FOR THE ENTIRE EVENT.
      -  THE SATURDAY EVENING FORMAL DINNER IS $30.00 PER PERSON.      

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

FULL EVENT

TOTAL

SANDY BOX

(CIRCLE WHEVER IS APPROPRIATE - DAILY OR FULL EVENT RATE)

MEMBER

$10

$10

$10

$10

$25

GUEST #1

$10

$10

$10

$10

$25

$10

$10

$10

$10

$10

$10

$10

$10

$25

$25

GUEST #2

GUEST #3

FORMAL DINNER

MEMBER

GUEST #1

GUEST #2

GUEST #3

$30

$30

$30

$30

GRAND TOTAL

Please mail this registration form and payment SO THAT IT IS RECEIVED by 21 September 2011 to:

The Society of Combat Search and Rescue (CSAR)
11 Tideswell Lane
Worcester, MA 01609

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