Registration Form
CRC 2004 Rockford, IL
(Please print or type)
Companion Information
|
Early Registration |
After
April 15 |
| Complete Package |
|
|
| ___ Member |
$ 210 |
$
230 |
| ___ Non-Member |
$ 230 |
$
250 |
| ___ Student (Friday Tech Sessions & Lunch) |
$ 25 |
$
25 |
| ___ Companion (access to everything below) |
$ 125 |
$
135 |
| |
|
|
|
|
|
| Separate Tickets |
|
|
| ___ Welcome Party (Thursday) |
$ 45 |
$
50 |
|
|
|
| ___ Technical Sessions & Lunch (Friday) |
$ 100 |
$
110 |
| ___ President's Lunch (Friday) |
$ 25 |
$
30 |
| ___ Awards Lunch (Saturday) |
$ 25 |
$
30 |
| ___ Banquet (Friday) |
$ 50 |
$ 55
|
| ___ Companion Tours & Lunch (Friday) |
$ 35 |
$
40 |
| ___ Companion Tours (Saturday) |
$ 15 |
$
20 |
|
|
|
| TOTAL |
$ |
$ |
Return this form and check to: (Make checks payable to: Rockford CRC 2004)
Alpha Controls
Attn: Bill Kushner
4104 Charles St.
Rockford, IL 61108
