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COMETS 2009 Conference April 20-22, 2009REGISTRATION FORM Send check, credit card number/name of holder/name of credit card company/expiration date/ AND this form to: COMETS 2009 C/O Lisa Dyer Truman Education Center 4301 NW Koehler Loop Fort Sill, OK 73503-9009 Email: lisa.m.dyer@us.army.mil Fax: (580) 442-2741
Name:______________________________________________________________________________________ Address:____________________________________________________________________________________ ___________________________________________________________________________________________ Phone Number:______________________________________________________________________________ Fax Number:________________________________________________________________________________ E-mail Address:______________________________________________________________________________ _____I would prefer vegetarian meals. Conference Registration Fees Complimentary COMETS polo shirt If postmarked by April 3, 2009 $125.00 Please Circle One: On Site or after 4/3/2009 . $150.00 Mens: S M L XL 2XL Total amount enclosed: $_______ Womens: S M L XL 2XL
Method of Payment: ___ Check ___ Credit Card: Name on Card:________________________________________________________ Account Number: ________________________________________________________________ Expiration Date: _________________________________Type of Card:_____________________ All credit cards will be charged approximately 30 days after receipt of registration. *All registration fees are non-refundable after 04-03-2009 and include $115 conference fee and $10 annual dues. Conference fee includes breaks, one continental breakfast, one full breakfast and one lunch. Federal tax ID #74-2671174 Omni Corpus Christi Hotel Bayfront For hotel reservations call 1-800-843-6664 or access www.omnihotels.com Please make your reservations before Friday, April 3, 2009 for guaranteed rate COMETS Rates: $129/single state or non-military $89/single federal government
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