Oregon Association of Student Councils

OASC Spring Conference

Registration Form

TO BE COMPLETED BY ADVISOR ONLY!

Early-Bird Registration Deadline: Friday, April 23, 2010

Please fill out this form and submit it online or print it and send with payment to:

OASC
707 13th Street SE, Suite 100
Salem, OR, 97301-4035

School Name:
School Address:
City:
Zip:
School Phone:
Name of Advisor:
Home Phone number with area code:
E-mail Address:
Advisor who will receive conference packet at registration:
Early-Bird Registration Deadline: Friday, April 23, 2010 Conference Fees:

OASC Member Schools:	Non-Member Schools:
$58.00 per person if registered by April 17 Deadline $63.00 per person if registered after April 17 Deadline	$68.00 per person if registered by April 17 Deadline $73.00 per person if registered after April 17 Deadline
Registration includes handouts and Monday's Continental Breakfast and Luncheon

Number of Students attending conference @ $ =

Number of Adults/Advisors attending conference @ $ =
(pay same amount as students)

Please provide one adult for every 10 students
ADULT SUPERVISION IS REQUIRED!

2009-10 Member Dues @ $55.00 (please enclose membership form)

TOTAL AMOUNT DUE:

Sending Payment
Bill School, PO#

If you have a Purchase Order number
and wish to be invoiced, you may submit this form online.

Please indicate whether or not you will be staying for Monday luncheon (which is included in registration)
* If you sign up for the luncheon, please plan to stay for the duration.

We will be staying for the luncheon.

LUNCHEON CHOICE (indicate numbers) Meat Vegetarian

We will not be staying for the luncheon.

Security Code:
Please enter the security code you see above in this box:

If you would like to send payment with your membership form, please print this form and mail to the address below.

Mail to: OASC 707 13th Street SE, Suite 100 Salem, OR 97301-4035

Questions? Contact Nancy Moen, Program Director
or call 503-480-7206.

OASC Spring Conference

TO BE COMPLETED BY ADVISOR ONLY!

Early-Bird Registration Deadline: Friday, April 23, 2010

Early-Bird Registration Deadline: Friday, April 23, 2010

Conference Fees: