NAME: ______________________________________________ |
[ ] Rail |
[ ] Non-rail |
NAME: ______________________________________________ |
[ ] Rail |
[ ] Non-rail |
NAME: ______________________________________________ |
[ ] Rail |
[ ] Non-rail |
ADDRESS: ___________________________________________ |
Phone: ( _______) __________________ |
|
CITY/STATE: _________________________________________ |
NASG MEM#: _____________________ |
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ZIP: __________________ |
E-mail: ____________________________ |
FARES
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No._______ |
$ 65.00 each |
|
= ____________ |
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|
No._______ |
$ 75.00 each |
|
= ____________ |
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|
$ 90.00 each |
|
= ____________ |
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|
$110.00 each |
|
= ____________ |
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One day Fare only, Includes Clinics and trade show |
No._______ |
$30.00 each |
= ____________ |
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|
No._______ |
$20 per person |
= ____________ |
||
BANQUET: Four entrees to choose from. Dinners served at your table. Please check one per person: |
No._______ |
X $30.00 each |
= ____________ |
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CONVENTION CAR: Lackawanna Wood-Sided Reefer from S Helper Service - see convention car page. |
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2001 Convention Yr. numbered on car |
Qty:______ |
X $40.00 each |
= SOLD OUT! |
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Prototype #7201 on car |
Qty:______ |
X $40.00 each |
= SOLD OUT! |
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CT residents add $2.40 tax for each car ordered. |
= ____________ |
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Cars can be picked up in Scranton or shipped after convention. Shipping costs are $5.00 for first car and $2.00 for each addtional car. |
|
= ____________ |
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DEALER TABLES: |
Qty:______ |
X $20.00 each |
= ____________ |
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GRAND TOTAL |
= ____________ |