Registration Form

 Name(s)_______________________________________________________________________________

Address_______________________________________________________________________________

City__________________________________________________State_______Zip___________________

Phone__________________________________E-Mail__________________________________________

Full Registration

No Persons X Price = 

Hospitality suite (Thursday, Friday, Sataurday)
Full Breakfast Buffet (Friday & Saturday)
Wings Seminar and Banquet (Saturday)



_____ $70.00 _________
Partial Registration  

If Arriving Friday

Hospitality suite (Friday & Saturday)
Full breakfast Buffet ( Saturday)
Wings Seminar and Banquet (Saturday)





_____ $55.00 _________

If Arriving Saturday

Hospitality suite (Saturday)
Wings Seminar and Banquet (Saturday)




_____ $40.00 _________

Banquet only (Saturday)

_____ $35.00 _________
Options  

Andy Williams Moon River Show Thursday evening (7PM)

_____ $28.50 _________

Showboat Branson Belle Dinner Cruise, Friday evening (8PM)

_____ $39.00 _________
Late Registration  

Add (if registering after October 1)

_____ $10.00 _________

TOTAL

$________

Send Registration Form with check (or sign below) to
United States Pilots Association, 483 So. Kirkwood Rd, Suite 10, St. Louis, MO 63122

For additional information, please call USPA (417) 338-2225

Charge it! M/C____VISA____

Card No._____________________________________Exp.___________

Signature____________________________________________________

Let me see the Activities again.

Go back to the Main MPA State Page