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How to preregister for PRA's 2010 INTERNATIONAL CONVENTION.
Note: You can save money if you join or renew your PRA
membership by clicking this link first!
- To Register by Mail or Email:
-
Click on this link to Download PRA's 2010 Preregistration Form.
- Fill out the form and calculate the total due.
- Mail filled out form to PRA , PO Box 68, Mentone, IN, 46539 or email it to
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
.
- Then either include your check or Credit card information along
with the filled out form in step C above.
To Register and Pay Online click this link.
Click this link for more
information regarding this year Fly-in
The following from is solely provided as an example of the actual form:
PRE-REGISTRATION FORM
PRA INTERNATIONAL CONVENTION
August 3-7, 2010
*Must
be received by 7-30-10
____________________________________________________________________________________________________________________________________________
PLEASE PRINT
Name
___________________________________________________________
PRA Number __________________
Name(s)
of additional adults
____________________________________________________________________________
Address
__________________________________________________________
PRA Chapter __________________
City
_________________________________________
State
___________ Zip ____________ Number in
Party _________
Country
____________________________________________________
Phone Number ________________________
Email
address
_____________________________________________________________________________________
Days
planning on attending Tuesday
Wednesday Thursday
Friday Saturday
Where are you staying?
Hotel/Motel
Bed/Breakfast
PRA camping:
Tent
Motor-home
Camper
Length of motor-home or
camper __________________
Will you need your aircraft trailer at your campsite?
Yes No
Does anyone in your party
need special consideration? Yes
No
Specify:
_____________________________________________________________________________________________________
FEES
Registration (covers
primary member) . .$25.00 . (Includes
one family member).
. .. . . . . . . . . . . . .
. . . . . .$________
Non Members….$30.00 includes 5
day non voting membership ……………………….………………………
...$________
Additional adult(s), ages 12 & up @ $10.00 . . . . . .
. . . . . . . .. . . . . . . . ……… . . . .. .x _____
= $ ________
Camping
Basic (no electric) @ $10.00/day . . . . . . . . . . . . . . . . . .
. . . . . . . . .
x ______ days = $ _________
Full (electric & water) @
$18.00/day . . . . 4
Day Minimum . . ..
……... x ______ days = $
_________
Banquet
Adult @ $20.00 each . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . .
x ______ num = $ _________
Children, ages 3-10 @ $10.00
each . . . . . . . . . . . . . . . . . . . . . . . . . . x ______ num = $
_________
Vendor
Site _______ @ $50.00 (no electricity)
. . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . $ _________
Site _______ @ $75.00
(electricity) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . $ _________
TOTAL . . . . . . . . . . . .
. . . . . . . . . . . . . . $ _________
ADDITIONAL INFORMATION
What aircraft will you bring?
__________________________________________________________
Do you plan to fly your aircraft?
Yes/No
Do you hold a current
PRA
“
PASS
”
card?
Yes/No
Will you need a 90 day sign off?
Yes/No
Will you need a biennial review?
Yes/No
Make check or money
order, in US funds, payable to: PRA
Or MasterCard/Visa #
___________________________________________________ Expiration date _________
Pay Pal from Web
Site only
Signature
___________________________________________________________________________________
Official Office Use
Only
Send to:
Site # ______________________
PRA
Date Received _____________
PO Box
68
Amount Paid _______________
Mentone
,
IN
46539
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