STATE CONVENTION: APRIL 15-17, 2010
NAME _______________________________________ ArSRT Member
Number_______________
ADDRESS _______________________________________________________________
City, State,
Zip______________________________________________________________________
HOME PHONE
_________________________E-MAIL_________________________________
PRE-REGISTRATION DEADLINE: POSTMARKED
BY March 15, 2010.
THERE WILL BE A $25.00 PROCESSING FEE FOR LATE REGISTRATIONS AND A $60
PROCESSING FEE FOR ON-SITE REGISTRATION.
REGISTERED & LICENSED TECHNOLOGISTS: Please CIRCLE desired registration days
ONE DAY REGISTRATION OPTIONS
ArSRT
MEMBER: Thursday ONLY $50 NON-MEMBER: Thursday ONLY $110
ArSRT MEMBER: Friday ONLY $75.00 NON-MEMBER: Friday ONLY $135
ArSRT MEMBER: Saturday ONLY $90.00 NON-MEMBER: Saturday ONLY $150
TWO DAY REGISTRATION
OPTIONS
ArSRT
MEMBER: Thursday & Friday $95.00 NON-MEMBER: Thursday & Friday $155
ArSRT MEMBER: Friday & Saturday (Saturday Lunch
Included) $120.00 NON-MEMBER: Friday & Saturday $180
THREE DAY REGISTRATION
ArSRT
MEMBER: Thursday, Friday & Saturday
(Saturday Lunch Included) $140
NON-MEMBER:
Thursday, Friday & Saturday (Saturday Lunch Included) $200
LUNCH RESERVATIONS (required to guarantee meal)
______ I plan on attending
the President’s Luncheon, Saturday, April 17, 2010.
_________________________________________________________________________________________________________________
MAKE CHECKS PAYABLE TO ArSRT & MAIL
WITH REGISTRATION FORM TO: ArSRT, PO
SEATING
IS NOT GUARANTEED FOR REGISTRATION FORMS POSTMARKED AFTER MARCH 15, 2010. NO REFUNDS. EXTENUATING CIRCUMSTANCES MUST
BE WRITTEN AND POSTMARKED TO THE ArSRT BY APRIL 1, 2010.