2017 SARA Western Region Conference Registration Form

All are welcome to attend the conference. Membership is not required.

Breakfast and lunch on Saturday and Sunday are included

• SARA Conference March 17 to 19, 2017

Number attending _____ X $60.00 = $__________ (Same price for spouse or non-participating guest for meals)

Fees are refundable in case of cancellation.

Name of all registrants: _________________________________________________________________________________

E-mail Address:_________________________________________________________________________________________

SARA Membership Dues (Optional)

Renew for July 1, 2017 to June 30, 2018 $20.00__________ or Student $5.00__________

New Membership good to June 30, 2018 $20.00__________ or Student $5.00__________

Payment by:

• Check or Money Order mailed to: SARA, 2946 Montclair Ave, Cininnati, OH 45211



• Credit card thru https://squareup.com/market/society-of-amateur-radio-astronomers/western...

Mail this completed form with payment if using check or money order.

E-mail this form if using PayPal or Square to http://www.radio-astronomy.org/contact/Treasurer