RadioActivity 2012 Registration

Postmarked on or before June 7, 2012:
print, complete, and mail this form, along
with your check payable to MAARC, to:

Chris Kocsis         
7315 Oriole Ave.     
Springfield, VA 22150-4302     
phone (703) 913-9143
e-mail: chrisk33@cox.net

(NO confirmation will be mailed.)

After June 7, 2012:
print and complete this form, using "at the meet" prices, and bring it to the registration desk at the conference./p>

This year there will be a Saturday Only registration fee of $10 available for June 23.
------------------------------
Please use a separate form for each registrant.

Accompanying family members do not need to register.

Do not include hotel room requests.
Please contact hotel to book rooms.

ItemFeeAmount Enclosed
 MAARC member registration mailed on or before June 7$15 
 MAARC member registration at the meet$20 
 Banquet tickets: number of tickets [ _______ ]
 (May sell out prior to the meet.)		$35 each 
 Non-member registration mailed on or before June 7$20 
 Non-member registration at the meet$30 
 Saturday, June 23 Only registration$10 
 Flea market spaces (no assigned spaces)
 Number of spaces wanted [ _______ ]		First space: $15
each add'l:  $10		 
 Total enclosed.  Make check payable to MAARC.-------> 

 

 Name: 
 Address: 
 Address2: 
 City:  State:  Zip Code: 
 Country:  E-mail: 
 Phone:  Fax:  Call Letters: 
 Names of other family members attending:
 

 

Main Menu on Home Page            RadioActivity Menu on Home Page