REGISTRATION FORM
VoIP TOPICAL ANNUAL CONFERENCE
SATURDAY APRIL 16, 2011
CIRCUS-CIRCUS HOTEL AND CASINO
LAS VEGAS, NEVADA
Name ________________________________________ Call Letters __________
Please Print
Address_______________________________________________________________________________
Telephone _____________________ E-mail _________________________________________________
AREA OF INTEREST (please check): IRLP
__ Echo Link __ All Star/app_rpt __ D-Star __ Other interest ________________________
ADVANCED REGISTRATION COST: $85.00 by check or money order for each meeting attendee includes Breakfast and Lunch on Saturday April 16.
Number of attendees ____
x $85 =______________
Less $25 Deposit due by March 1 was paid on
______________ - $25 credit
Voluntary Donation to NARRI ______________
Total enclosed _____________ USA immediate funds required.
PAYPAL: $90.00 if by PayPal. Go to www.paypal.com and click on send money. Address
payment to
w7aor@narri.org and memo this event.
PAYMENT SCHEDULE: RSVP and a non-refundable deposit of $25 is due by March 1, 2007.
Please make full payment prior to March 13, 2009. as shown above Credit will be given for $25 Deposit.
Please note that costs include 7.5% tax and 18% tips.
Please return this form with a check or money order
payable to Nevada Amateur Radio Repeaters, Inc.
Send to:
Kent B. Johnson, 395 Peaceful Street, Las Vegas, NV 89110.
PAYING AT THE DOOR: Paying at the door is subject to plus 50% hotel catering surcharge. PAYMENT IS REQUIRED FOR ENTRY TO THE MEETING.
REFUNDS: No refunds of
$25 Deposit. No refunds on Registration Fee after April 1.
SLEEPING ROOMS: Sleeping rooms are at your additional expense, but the Circus-Circus Hotel will give attendees give a group rate of $69.95 for Friday April 15 and Saturday April 16.
In order to get that rate, please identify your self as attending the VoIP Conference and give the Group Code CV04VIP. Register online at http://www.circuscircus.com/
or call the Reservations Desk at 1-800-634-3450 option 1 .