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NYSCAA Business Meeting / Reunion '99
Registration Form

[ Intro ] [ Accomodations ] [ Registration Form ] [ Attendees ]

August 13-15, 1999
Stanford University
Palo Alto, CA

***** Please contact Steve Blasberg by July 22 if you are interested in coming.

Print out and enclose this form with your fees.

Name:
Email:
Camper State & Year:
Staph Year(s):
Address:

City:
State:
Zip:
Country:
Day Phone:
Evening Phone:
Fax:
Web Site:

Yes, I will participate in Reunion '99

I'll be arriving on: ______________________ (date & time, if known)

I'll be bringing the following guests:
1) ________________________________________
2) ________________________________________
3) ________________________________________
4) ________________________________________
5) ________________________________________

I've included a check for $_______ for registration fees for myself and my guests, made out to "NYSC Alumni Association"

(Registration fees include Friday lunch; Saturday breakfast, lunch, and dinner; and Sunday breakfast)
___	Two nights double room (per person)	X	$120.00	=	$__________
___	Three nights double room (per person)	X	$150.00	=	$__________
___	Two nights single room	X	$145.00	=	$__________
___	Three nights single room	X	$185.00	=	$__________
___	Conference without accomodations (you will need to make your own housing arrangements)	X	$60.00	=	$__________
___	Contribution you'd like to add to defray expenses and help students register				$__________
Total Registration Fee					$__________

I'd like to be matched up with roommates

No, I can't come but I've included my new address, phone, etc. (or email your bio update to NYSCAABIO@aol.com)

I can't come but I am contributing $_______ to defray expenses and help students register. Make your check out to: "NYSC Alumni Association"

Please return to:

NYSCAA Reunion '99
1615 Loch Lomond Ln
San Jose, CA 95129-3762

???? Questions ????

Need any info about anything? Contact:
Steve Blasberg
1615 Loch Lomond Ln
San Jose, CA 95129-3762
(408) 253-4251
steve_blasberg@westvalley.edu

1982 NYSC Home | Delegates | Staph

http://www.kalena.com/nysc/nyscaa_reunion1999/reg_form.html

NYSCAA Business Meeting / Reunion '99 Registration Form

August 13-15, 1999 Stanford University Palo Alto, CA

NYSCAA Business Meeting / Reunion '99
Registration Form

August 13-15, 1999
Stanford University
Palo Alto, CA