Registration Form

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Name: ______________________________________________________________________ Address: ____________________________________________________________________ _____________________________________________________________________ Phone: _____________________________ E-mail: __________________________________ NAR# ______________ TRA# ________________ LAUNCH FEE is $30 for both days of commercial only, if registering on site. $20 for pre-registration and payment is received on or before April 10th. LAUNCH FEE is $15 for research day only if registering on site. $10 for pre-registration and payment is received on or before April 10th. LAUNCH FEE is $45 for all three days if registering on site. $30 for pre- registration and payment is received on or before April 10th.

Save yourself some BUCKS and register early!

Commercial days pre-payment: ______________ ($20) Research day pre-payment: ______________ ($10) Your Total: _______________

Make checks and money orders payable to: Jim Ballard 1816 Cord St. Odessa, TX 79762

Ouestions? E-mail me at - fyrechaser@cableone.net