ALT-AZ INITIATIVE
MAIL DAY REGISTRATION
Workshop Dates: Friday Evening, February 5 - Monday Evening, February 8, 2010

Print and fill out this form.
Make check or money order (USD) payable to Galileo's Legacy:

And mail to:

Alt-Az Initiative
c/o Dannielle Tassell
400 N. Laredo Ln.
Payson, AZ 85541
Back to E Komo Mai Back to Hawaii Workshop Home

Step 1:

  ● Send an email to
    AltAzIntiative@aol.com
    and include the following
    information:

● Your name
● Organization & title (if appropriate)
● Email address (best for contact)
● Phone Number (best for contact)
● Mailing address

Step 2: Complete the appropriate boxes: (Only one registration per person)

Number of Days Total

Day Registration General $20.00 / day

Day Registration Student $10.00 / day

TOTAL DUE

Name _______________________________

Title/Affiliation ________________________

_______________________

Email address _________________________

Phone number _________________________

Thank you for completing your Hawaii Workshop registration.
We look forward to seeing you at the Workshop!