2008 Seminar Registration
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NORTHERN ILLINOIS PARROT SOCIETY

Online Registration Form

for the

6th Annual "Flying into Knowledge" Seminar

Complete this form to be registered for the 6th Annual "Flying into Knowledge" Seminar. Contact information is for club purpose only. No information will be distributed to outside individuals or companies without your prior permission.
Seminar Registration
Includes Choice of Lunch & Drink
Registrations Received Before August 1st:
        Members

$60.00
        Non-members

$70.00
Registrations Received After August 1st:
        All Registrations

$80.00

Registrations received by August 1st will automatically
be entered in our special "Early Bird" Drawing!


Please register   individual (s) for the Seminar.

Please enter name as you would like it to appear on your badge.
First Attendee:
First Name 1:  
Last Name 1:  
Street Address:  
Address (cont.):  
City:  
State:  
Zip Code:  
Home Phone:  
Cell Phone:  
Work Phone:  
Email Address:  
Second Attendee:
First Name 2:  
Last Name 2:  

Third Attendee:
First Name 3:  
Last Name 3:  

Choose Your Lunch

Lunch includes your choice of sandwich, dessert and drink.
Please select your choice of sandwich.

 Turkey Ham &
Cheese		 Veggie

Lunch 1:
Lunch 2:    
Lunch 3:    

Proceedings

I'd like to order an advance copy of the Proceedings Book. This publication contains articles written by the presenting speakers and is a great opportunity to have all the educational material you learned about in one nicely bound booklet. Advance copies are available for only $10.00. Your paid advance copy can be picked up at the Seminar. Proceeding booklets will be available at the Seminar for $15.00 (while supplies last).

Please reserve 1 Proceedings Book at $10.00.
Please reserve 2 Proceedings Books for a total of $20.00.
I do not wish to pre-order a Proceedings Book at this time. I may be interested in purchasing a Proceedings at the Seminar for $15.00 (while supplies last).

To continue & pay for your seminar registration using PayPal, please click on the Submit button below.

    
 

Have questions regarding the "Flying into Knowledge" Seminar?
Contact Sheryl Robinson, Chairperson, at 847-254-0591 or seminar@nipsparrot.org.
Form problems? Contact webmaster@nipsparrot.org.

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Copyright © 2003-2008 Northern Illinois Parrot Society. All rights reserved.
Revised: March 09, 2008