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