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ASTROBLAST
2006
Pre-Registration
form
Name___________________________________________________________
Address________________________________________________________
City_________________________________State___________Zip_________
Phone_(_____) - _______ - _____________
E-mail ________________________________
Please note: NEW THIS YEAR FOR PEOPLE CAMPING - $3.50 per person per night must be paid to Two Mile Run County Park. This fee will be collected at the Observatory upon arrival, and will give you access to the showers at the main campgrounds.
Special Rate available for K - College Students - $5 per Day or $10 Event Registration.
***Pre-registration
fee due on or before Monday, September 18.
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Individual |
Family* |
| Friday | __$5.00 | __$10.00 |
| Saturday | __$11.00 | __$21.00 |
| Event | __$16.00 | __$30.00 |
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* Five (5) person maximum per family
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| Number
attending | ____________ | |
| __ Qualify for Student Flat Rate ($5/day or $10-Event) | $_________ | |
| Total Registration fees | $_________ | |
| Sat. Breakfast $5/adult $3/child | $_________ | |
| Sat. Pizza Party $5/adult $3/child | $_________ | |
| Sun. Breakfast $5/adult $3/child | $_________ | |
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TOTAL ENCLOSED: | $_________ | |
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***Gate registration fees (after Sept. 18, 2006) |
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Individual |
Family* |
| Friday | __$8.00 | __$16.00 |
| Saturday | __$15.00 | __$38.00 |
| Event | __$24.00 | __$43.00 |
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* Five (5) person maximum per family
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Please
complete the registration form and return it along with payment to:
Astroblast
2006
Oil Region Astronomical Society
P.O. Box 1535
Oil City, PA 16301
For
additional information, please contact Susan at (ASTROBLAST@oras.org).
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