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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