Please Type or Print No Abbreviations Please
Organization: _________________________________________________________________
Campus: _______________________________________________________________________
Address: ______________________________________________________________________
City: __________________________________________ St: _______ Zip: ________________
Contact Person: _______________________________________________________________
Phone: (_______) _________-____________ Fax: (_______) _________-____________
E-mail: _______________________________________________________________________
WebPage: ______________________________________________________________________
Pre-registration date: Oct. 01, 1998
High School Students.......FREE!
UT-PA Students.............$5.00
Community..................$7.00
|
On Site Registration
High School Students.......$1.00
UT-PA Students.............$7.00
Community.................$10.00
|
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How many are planning to attend? __________ Cost: _________
Please attach a list with the names of the students that plan to attends.
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Vendors please check all that applies:
____ T-Shirts ____ Caps ____ Music ____ Books/Literature
____ Posters ____ Crafts Other:______________________
Sorry, No Refunds.