NYSOA - Registration Form for Annual Meeting 2005

#1 Name: ______________________________________

Delegate?

Atlas Volunteer?

Name of Club___________________________________________________

Check the box below if
you are interested in
non-birding activities:

#2 Name: ______________________________________

Delegate?

Atlas Volunteer?

Name of Club___________________________________________________

Address________________________________________________________________

City_______________________________________State________Zip______________

Email address___________________________________________________________
Confirmations will be sent by Email.
Check here ONLY if you would like a mailed confirmation:

PHONE:

Day________________

Eve________________

Registration Fees:		Per person:	How many?		Total:
Registration postmarked on or before August 10, 2005		$35.00
Registration postmarked after August 10, 2005		$45.00
Student registration		$10.00
Total Registration Fees:					A.
Meal fees:		Per person:	How many?	Attendee #1 or #2?	Total:
Friday evening buffet		$30.00
Saturday evening dinner - Choose one per registrant:	Sole Chardonnay	$25.00
	Adirondack Chicken	$25.00
	Grilled Vegetable Lasagna Roulade	$25.00
Total Meals:					B.
Hudson River Cruise fee:		Cost per person:	How many?		Total:
6:30 - 9:00am Sunday morning - includes breakfast		$15.00
Total Cruise:					C.

TOTAL AMOUNT ENCLOSED - ADD BOXES A, B AND C:

Please make checks payable to Hudson-Mohawk Bird Club, Inc.
Send with form to:

Jo Shultz

2101 Campbell Ave.

Schenectady NY 12306

Room reservations:
A block of rooms has been reserved for attendees of the NYSOA Annual Meeting at the Albany Marriott Hotel for $119.00 plus tax per double room occupancy. Reserve your room by calling 1-800-443-8952. Rooms rates are not guaranteed for those reserving after September 9. Please mention the NYSOA Annual Meeting for the special rate. For directions to the Albany Marriott, go to www.albanymarriott.com.