REGISTRATION
 

2006 KOS Spring Field Trip
Cross Timbers, May 5-7, 2006

I (We) Plan to attend the 2006 KOS Spring Field Trip

Name(s)__________________________________________________

Address__________________________________________________

Phone:__________________________ E-mail _______________________________

Saturday dinner.            Number _____ @ $8.00 per person = $__________
 

Sunday Lunch               Number ______@ $4.00 per person= $__________
 

TOTAL                                                                                          $__________
 

Please pre-register with full payment by May 1.
Make checks payable to Kansas Ornithological Society.
Mail registration and checks to Pete Janzen, 3137 Mascot, Wichita, Kansas 67204.
KOS is unable to accept payment by credit card. 

In submitting this registration I (we) understand that KOS is not responsible or liable
for any accidents or injury that might be associated with the 2006 Spring Field Trip.

__________________________________________________
 

__________________________________________________
Signatures/Date
 

Pete Janzen
3137 Mascot
Wichita, Kansas 67204