Back to Summer 2004 Announcement
page updated: 28 April 2004

Front Tee Shirt Logo
Front Tee Shirt Logo

REGISTRATION FORM
USAS-UPAC Joint Convention

June 11-13, 2004
Fremont Indian State Park

PLEASE PRINT AND MAIL TO ADDRESS BELOW

Back Tee Shirt Logo
Back Tee Shirt Logo

Registration fee includes one white canvas tote bag with logos and group camp site fees. Tee shirts and denim bags with the logos will be on sale during on-site check-in and late registration.

Name ________________________________________________________________________________________

Address ______________________________________________________________________________________

Telephone (________)_______________________ USAS Chapter or UPAC ________________________________

Number

Event

Cost

______

$15 per person registration before May 15, 2004, late registration $20 per person. Registration fee includes one white canvas tote bag with above logos.

= $______

______

for Friday hamburger fry (free by UPAC, but we need to know numbers)

 

______

for Saturday Navajo Taco lunch (pay on-site, but we need a ballpark figure)

 

______

Please indicate if you are interested in the ATV ghost town ride

 

______

$20 for Banquet at the River Cookhouse in Marysvale Canyon. Please note your menu preference, includes tax & tip. Indicate entree choice:

= $______

 

______ Prime Rib ______ Shrimp & Penne Pasta
______ Parmesan Caesar Chicken ______ Vegetarian

 

Medium blue tee shirts with navy at neck and sleeves, printed with logos. The shirts are 50/50 blend to avoid shrinkage, but sizes run a bit small.

 

______ at $10 apiece for ______ medium ______ large ______ x-large

= $______

______ at $12 for xx-large ______ xxx large

= $______


TOTAL DUE $_________________

Make checks payable to USAS Convention
Return by May 15 to:
USAS Convention, c/o Viva Meyer
813 Medoland Drive, Brigham City, UT 84302


UPAC Home | Members Only |Contacts | Membership | About UPAC | Journal |
In the News | Events & News | Related Links
| Site Map