Registration Form
(Please Print Clearly)
Name: _____________________________________________________________________
Last First Mi
Address: _________________________________________________________________
_________________________________________________________________
_________________________________________________________________
City: _____________________________State_____________Zip_____________
Telephone: ( ) FAX: ( ) E-mail___________________
Registration:
Event Number Attending Cost per person Amount
NE-183 Meeting _____ $30.00 _______
NC-140 Meeting _____ $60.00 _______
Both Meetings _____ $90.00 _______
Total Registration to be Paid _______
Notes:
-NE-183 registration includes continental breakfast on Tuesday and Wednesday, and Lunch on Tuesday.
-NC-140 registration includes continental breakfast on Thursday and Friday, a light Lunch on Thursday and dinner on Friday.
-If you have special needs or requests, please indicate below:
Automobile Travel
I plan on arriving by automobile and have no need for assistance.
Air Travel
I will arrive on ______________(date), at ______________(time)
on airline _________________(service) flight no. ____________
Please meet me at the airport
I will take the Hilton Hotel Shuttle
I have other travel plans: (Please describe below)
Notes:
-Limited shuttle service to the Tulsa International Airport will be provided for a charge of $25.00 per round trip. Pick up times will be 12:00 noon and 6:00pm on Monday 11/10 and Wednesday 11/12; drop-off times at the airport will be 8:00am and 12:00 noon on Wednesday 11/12, Saturday 11/15, and Sunday 11/16.
-If you plan to fly into/out-of Tulsa, it may be worthwhile to post that information on the NE-183 and/or NC-140 listserv and carpool with a rental car.