VAAS 2009 Registration Form

You will receive one door prize ticket for each person registered
Additional door prize tickets may be purchased at the door
for $2.00 each or 3 for $5.00.

You may register at the door for the late registration fee.

Name  
Address  
City, State Zip  
Telephone  
Email Address  
Additional Registrant  
Additional Registrant  

REGISTRATION TYPE Price Quantity Amount
General Early (Before 8/29/09) $10.00    
Teacher/Student Early (Bring a School ID) $6.00    
General Late or at the Door $13.00    
Teacher/Student Late (Bring a School ID) $9.00    
Children (12 & under) $4.00    
BBQ Cookout and Star Party $12.00    
TOTAL: ---- ----  

I would like to reserve swap table space:        Yes  /  No      

Print this form and mail it with your payment to:
Charlottesville Astronomical Society
c/o Richard Drumm
CAS President
3216 Burnley Station Rd.
Barboursville, VA  22923

Make checks payable to CAS.
Please do not send cash via USPS.