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, 12:00–1:15 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
NO REFUNDS, BUT REGISTRATION
IS TRANSFERABLE