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Printable Registration
Name _________________________________________________
Address _______________________________________________
   _______________________________________________
Phone (daytime) _______________ (evening) _______________
Email ________________________________________________
Total paid $____________ Payable to Midwest Astrology Conference
Visa/MasterCard ____________________ Ex. ______3 digit ______

Check any or all that apply

_____Full Conference includes 3 days of Lectures, Banquet & Keynote (luncheon & Preconference extra)
Banquet: chicken ___ fish ___ vegetarian ___

_____Weekend package (lectures only, no banquet or keynote Pre Conference extra)
  
_____Special Saturday Luncheon, 12:001:15 PM,

_____Special Sunday Luncheon, 12:00-1:15 PM,

Conference single prices
_____One day ticket, lectures only (no luncheon)
_____Single lecture
_____Banquet only , please check meal choice above

PreConference:

Pre Conference: Sandra Leigh Serio
idwest Astrology Conference
M
Hotel Information
NO REFUNDS, BUT REGISTRATION
 IS TRANSFERABLE