Pre-registration Form: ASA CO/WY Chapter 1999 Spring Conference, Friday, April 9, 1999

Pre-registration must be received with payment by Monday, April 5, 1999. Walk-up registration will be available the day of the conference for an additional $3. Please mail this form and payment to

            Dr. Brad Warner 
            HQ USAFA/DFMS
            2354 Fairchild Drive, Suite 6D2A
            USAF Academy, CO 80840-6252 
             
             


NAME:___________________________________________________

AFFILIATION:____________________________________________

PHONE:__________________________________________________




Check applicable block:

                           Chapter Member        Non-member

Pre-registration              [] $7.00           [] $10.00

Student registration          [] $5.00           [] $ 5.00


Please note that the registration will not include lunch.