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ASTROBLAST
2011
Registration Form
Name(s)___________________________________________________________
Address________________________________________________________
City_________________________________State___________Zip_________
Phone_(_____) - _______ - _____________
E-mail _____________________________________________
Special Rate If you have attended ASTROBLAST in the past 5 years, and you bring someone with you who has never attended an ASTROBLAST event ... Registration is 1/2 price for both you and the new attendee!!
Special Rate available for K - College Students - $12 Individual Event Registration.
Special Rate available for K - school or community groups! Call Kelly O'Hara at 814-677-3972 for details..
NOTE: Daily shower access and onsite camping available at no additional charge.
SAVE 25% - Pre-register (envelope postmarked) by Tuesday September 6, 2011 (Non-refundable).
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Individual |
Family* |
| PRE-REGISTERED EVENT (All Days) | __$18 | __$36 |
| PRE-REGISTERED SATURDAY ONLY | __$12.00 | __$24.00 |
| PRE-REGISTERED K-College Student EVENT (All Days) | __$10.00 | |
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***On-Site Registration Fees (after Tuesday, Sept. 6, 2011) |
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Individual |
Family* |
| ONSITE REGISTRATION EVENT (All Days) | __$24 | __$48 |
| ONSITE REGISTRATION SATURDAY ONLY | __$18.00 | __$36.00 |
| ONSITE K-College Student EVENT (All Days) | __$12.00 | |
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* Five (5) person maximum per family
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| Number
attending | ____________ | |
| Total Event Registration Fees | $_________ | |
| ___ Check here if you are bringing someone who has never attending ASTROBLAST before or are a new attendee coming with a past ASTROBLAST participant, and are requesting 1/2 price Registration Fees. Also list here ___________________________ who you are bringing or coming with. | | |
| Galileo Telescope Workshop $20/person (includes Telescope) | $_________ | |
| Saturday Pizza Party $6/adult and $4/child | $_________ | |
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TOTAL FEES ENCLOSED: | $_________ | |
| NOTE: Daily shower access and onsite camping available at no additional charge. |
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Please
complete the registration form and return it along with payment (make checks payable to ORAS Inc.) to:
Astroblast
2011
Oil Region Astronomical Society
P.O. Box 1535
Oil City, PA 16301
For
additional information, please contact Tim Spuck at ASTROBLAST@oras.org or Tim Spuck at tspuck@hotmail.com or 814-758-9527 or call Kelly O'Hara at 814-677-3972.
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