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Registration Print E-mail

StarDate 2010 Registration Form (14-18 January, 2010)

Download Registration PDF File  Word Document or Print this page.

Early Bird applied to all paid registrations received on or by December 12, 2009. Registrations can be emailed to one of the email addresses below or posted to:

Stardate
P.O. Box 156
Carterton, 5743 

Please make cheques payable to The Phoenix Astronomical Society

or pay directly into the following account. Please use your name as the reference:

Westpac Acct 030521 0205810 00

 

 

 

Number

Earlybird

Standard

Total

Adults (Fri 15th – Mon 18th )

 

$80

$90

 

Family (2 Adults + 2 children)

 

$150

$170

 

Student/Beneficiary

 

$50

$60

 

Additional nights Thu 14th, Mon 18th

 

$10

$10

 

2 fish or burger, chips, salads, dessert (children – ½ price for ½ order)

 

$15

$15

 

Less $5 for bringing a telescope

 

-$5

-$5

 

 

 

 

 

 

 

TOTAL$

 

To cover costs, additional barbeques will be funded by gold coin donation.

 

Please indicate accommodation if required

 

Tick

Number

Bunk Bed

 

 

Caravan Site

 

 

Not required

 

 

 

Tick if you are bringing a telescope

 

Size/Type

 

 

Please note REGISTRATION FEE covers accommodation from Fri Jan 15th - Mon morning  Jan 18th  (3 nights). Additional nights extra. Any queries, please contact Kay Leather, This email address is being protected from spam bots, you need Javascript enabled to view it (027 230 5190) or Antony Gomez This email address is being protected from spam bots, you need Javascript enabled to view it (021 253 4979)

 

Name

Address

 

 

Phone

Email

If you to be met at the airport, or have any other special travel requirements, please detail below:

 

 

 

 

 

 
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