Name: _________________________________________________________________________

       Delegate? Yes___  No___  Name of Club___________________________________________

Name: __________________________________________________________________________

       Delegate? Yes___  No___  Name of Club___________________________________________

Address: ________________________________________________________________________

City/State/Zip: ____________________________________________________________________

Email address: ________________________________________Phone number: ________________

	Number	Per Person	Total
Registration Fee postmarked on or before July 15th, 2004		$25.00
Registration Fee postmarked after July 15th, 2004		$30.00
Registration Fee for students		$10.00
Total Registration Fees
Friday evening buffet		$20.00
Saturday evening - steak and chicken combo		$24.00
Saturday evening - dinner vegetarian		$24.00
Total Meal Charges
Total Enclosed      Make check payable to Cayuga Bird Club/Annual Meeting

Room reservations:  A block of rooms has been reserved for attendees of the NYSOA Annual Meeting at the Clarion Hotel at $89.00 plus tax per room.  Please reserve your room at the Clarion by calling them at 607-257-2000 or at 1-800-CLARION.  Don't forget to mention the NYSOA Annual Meeting for the special rate.  Other lodging options can be found at www.visitithaca.com (click on For Visitor Information).

Checks for the full amount should be made payable to Cayuga Bird Club/Annual Meeting and mailed to: