Registration

2009

Convention
Registration Form

Click this link if you would rather fill out a paper form and send it in!

Member Registration

Full Name

Street Address

City, State, Zip

Phone

Email

Please contact me about being a GWSRA board member!YesNo

Registration TypeEarly Reg (before Sep 25) $125Onsite Reg $150Scopist/Teacher $75Senior (over 65) $45Student $25

Reporter Type (Choose all that apply)FreelanceEmployeeOfficialCARTFirm Owner

Realtime Provider?YesNo

I authorize GWSRA to release the following contact information in addition to my name to attendees and vendors (check all that apply):AddressPhoneEmail

I will pay via:Credit CardCheck