Form KOS Fall Meeting
SEPTEMBER 20-22, 2013 Topeka, Kansas
Registrations will be accepted through September 18, payments for meals are non-refundable after September 18.
I (we) plan to attend the 2013 KOS Fall meeting.
City, State, Zip __________________________________________________________
Phone _______________________ E-mail____________________________________
Registration Fee $20.00 x ____= $_________
(Waived for students 25 and under)
Saturday Banquet $20.00 x ____= $_________
Payment for banquet must be received by 9/18
Sunday Box Lunch $ 8.00 x ____= $_________
Payment for lunch must be received by 9/18
Total Amount Due (Checks payable to KOS) $_________
(No refund for cancellations after September 18)
Number of persons in party: _______
Please mail completed
registration with full payment to:
Terry Mannell, 218 Northridge Dr., Hays, KS 67601-1643
In submitting this registration form I (we) understand that KOS is not responsible or liable for any accidents or injury that might be associated with the 2013 KOS fall meeting.