ROATx Registration Form - Mail this form, with payment, before April 2nd for MAXIMUM SAVINGS!
Convention Registration Fees
Name (as you want it to appear on badge):
Non-Optical Guest Name (as you want it to appear on badge):
Address:
email
City:
State:
Zip:
Phone:
Fax:
Registration Packages:
Cost
Amount Paid
(Put yes / no)
All members & guests* Pre-Registrations received by mid-night April 2nd , 2008
Not Available
All members & guests* Pre-Registrations between April 2nd - mid-night April 23rd, 2008
$ 109
Non-Member Registration if received before April 2nd , 2008 (includes up to 10 CECs)
$159
ALL Late Registrations and at the Door (includes up to 10 CECs)
$189
Extra LUNCH and EXHIBIT HALL tickets for family and friends to eat with you
$20 each
Annual Sustaining Member’s Dues ( Pays through Sept. 2009 if new member)*
$100.00*
Annual Regular Member’s Dues (Pays through Sept. 2009 if new member)
$ 75.00
(* if you choose to be a Sustaining member, you may bring guests to our annual meeting and participate in activities & committees, and an opportunity for 4 online CECs are FREE thru Quantum Optical - vouchers will be sent to you after June 1st, 2008)
TOTAL AMOUNT OF REGISTRATION:
$
Due to equipment limitations, the “Refraction Crash Course” is a Hands-On course and is limited to a maximum of twenty participants per session. There are three sessions. Please advise 1st choice and 2nd choice of the time slots is best for you.
Part 1 - Saturday 8:30
Part 2 - Saturday 2:30
Part 3 - Sunday 9:00
Total $
Make Checks Payable to:
ROATX
1308 W. ANDERSON LN, STE B
AUSTIN, TX 78757
Credit Cards taken online, mail, or at registration table: info@ROATX.org
Required:
type of card:
Name on Card:
Billing Address:
CARD NUMBER:
EXP. DATE:
For registration questions, please contact Sam Johnson
@ 512-657-2020 Fax # 512-459-1560
HOTEL INFORMATION:
Special Rate and Discounts at Hotel Not Available after April 2nd, 2008 Cut-Off Date.
Single or Double - $122.00
Menger Hotel
204 Alamo Plaza
San Antonio, Texas 78205
Must Reserve Before 04/02/08
(while they last -
after sold out the cost will be $195.00 +)
For Reservations call (210) 223-4361 or (800) 345-9285
MENTION ROATX OR REGISTERED OPTICIANS TO RECEIVE THIS RATE!
Rooms are limited. Make your reservation today!
