41st Annual Central States VHF Society Conference
July 26-28, 2007 - San Antonio, Texas
Getting Started on VHF Program Registration Form
(One form for each Getting Started Ham attendee)
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Name
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Call
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Address
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Grid Square
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City
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State/Province
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Country
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Zip/Postal Code
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Phone (Day)
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Phone (Eve.)
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Email Address
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ARRL Member? ___Yes ___No
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Are you the dependent of a ham program registrant? ___Yes ___No
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Ham's callsign
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Are your family dependents accompanying you? ___Yes ___No
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How many?
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Are you submitting a family program registration under your callsign? ___Yes ___No
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Getting Started Program Registration Fees in USD
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Description of Program Opportunities:
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Amount
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Total
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Would you like to join CSVHFS (thru 7/2008)? ___Yes ___No
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if yes, 5
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$ |
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Would you like to join CSVHFS for life, instead? ___Yes ___No
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if yes, 125
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$ |
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Conference fee is based on age and/or student status. Enter applicable amount, below.
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Student thru 8th grade $5, high school & thru 18 $10, college $15, non-student >18 $20
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$ |
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Which bands are you interested in (circle all that apply)? 50 144 222 432 902 1296 Higher?
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Would you like to buy a copy of the proceedings? ___Yes ___No
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if yes, 15
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$ |
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Would you like to attend Friday's events? ___Yes ___No
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if yes, 5
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$ |
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Friday luncheon speaker is Joel Harrison, W5ZN, ARRL President.
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Friday luncheon ___Chicken ___Beef ___Tex-Mex ___Pasta
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@ 18
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$ |
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Saturday banquet speaker will tell us about the space shuttle which broke up over Texas.
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Banquet (ham) ___Chicken ___Beef or ___Surf 'n' Turf (+$8)
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@ 36 or 44
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$ |
Are you staying at the conference (Omni) Hotel? ___Yes ___No
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Getting Started Program Subtotal
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$
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Make check payable to: Central States VHF Society & Mail with this form by
3 July, 4 July being a holiday, or 7 July if using priority mail, 2007 to:
CSVHFS 2007 Conference, PO Box 380526, San Antonio, TX 78268 (address good thru August 1, 2007)
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