REACT International 2002 Convention Pre-registration

Iowa REACT Council

Des Moines, Iowa

July 15-18, 2002

REACT International 2002 Convention Pre-registration

Please print and mail to:
Richard Blandin
435 Allen St
Waterloo, IA 50701

Name ____________________________________________________________________________

Address __________________________________________________________________________

City ___________________St/Province _____________ Zip/Postal Code ______________________

E-Mail Address:____________________________________________________________________

Phone Number:_____________________________________________________________________

Council: _______________________________

Team ___________________ Team Number _______

Number in party ___________ @ $ ________ Total __________

Pre-registration fee $65.00 (before May 14, 2002)

Special Drawing for Free Room will be drawn from those registrations received before January 31, 2002.

Which fun trip would you like to participate in..(Please mark all that apply)

____ Blank Park Zoo

____ NWS at Johnston IA

____ STARC Armory Command/Comm for State

Which special functions would you attend?

____ Life Member meal ____ Amateur Radio Breakfast

Are you planning on taking Amateur Radio Exam(s) at the convention Y _____ N _____

(We are using this information to determine whether to provide this service.)

Iowa Council Website Registration form

Hotel Info

	Iowa REACT Council Des Moines, Iowa July 15-18, 2002

REACT International 2002 Convention Pre-registration
Please print and mail to:	Richard Blandin 435 Allen St Waterloo, IA 50701

Name ____________________________________________________________________________ Address __________________________________________________________________________ City ___________________St/Province _____________ Zip/Postal Code ______________________ E-Mail Address:____________________________________________________________________ Phone Number:_____________________________________________________________________ Council: _______________________________ Team ___________________ Team Number _______ Number in party ___________ @ $ ________ Total __________ Pre-registration fee $65.00 (before May 14, 2002) Special Drawing for Free Room will be drawn from those registrations received before January 31, 2002. Which fun trip would you like to participate in..(Please mark all that apply) ____ Blank Park Zoo ____ NWS at Johnston IA ____ STARC Armory Command/Comm for State Which special functions would you attend? ____ Life Member meal ____ Amateur Radio Breakfast Are you planning on taking Amateur Radio Exam(s) at the convention Y _____ N _____ (We are using this information to determine whether to provide this service.)
Iowa Council Website Registration form Hotel Info