41st Annual Central States VHF Society Conference July 26-28, 2007 - San Antonio, Texas - Ham Registration Form Name Call Address Grid Square City State/Province Country Zip/Postal Code Phone (Day) Phone (Eve.) Email Address ARRL Member? ___Yes ___No Are members of your family accompanying you? ___Yes ___No How many? Names/Calls of family members  Are you submitting a family program registration form? ___Yes ___No Bands Operated 50 144 220 432 902 1296 2304 3456 5760 10 GHz 24 GHz Preamp to test? 50 144 220 432 902 1296 2304 3456 5760 10 GHz 24 GHz Antenna to test? N/A 144 220 432 902 1296 2304 3456 5760 10 GHz 24 GHz Passive devices? 50 144 220 432 902 1296 2304 3456 5760 10 GHz 24 GHz If a passive device is to be tested for multiple bands, enter only the highest frequency.                                                                                               How many devices will you bring? _____ Ham Conference Registration Fees in USD General Program:  Description Qty Amount Total I am a CSVHFS Life Member (dues are not required) Check here ___ $0 Society Dues (2006-07 req'd for conference unless paying for Life)   @ 5 $  Life Membership (replaces Society Dues above)   @ 125 $  Conference fee (includes one copy of proceedings)   @ 40 $  Extra Proceedings (pickup at conference; add $4 ea for mail to home)   @ 20 $  Transport to Thurs nite dinner, patio on the riverwalk (limit XX):     @ XX $  Transport to Thurs nite dinner on the riverwalk, indoors (limit XX):     @ XX $  Transport to Thurs nite dinner atop Tower of Americas (limit XX):     @ XX $  Friday luncheon  ___Chicken  ___Beef  ___Tex-Mex  ___Pasta   @ 18 $  Banquet (ham)  ___Chicken  ___Beef or ___Surf 'n' Turf (+$8)   @ 36 or 44 $  Banquet (family)  ___Chicken  ___Beef or ___Surf 'n' Turf (+$8)   @ 36 or 44 $  Are you staying at the conference (Omni) Hotel? ___Yes ___No Can you provide something for the prize table? ___Yes ___No General Program Subtotal $ 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)