MSRAL 2017 Registration Form
Mid-States Regional Convention of the Astronomical League June 9 to June 11 2017 Plaster Student Union at Missouri State University, Springfield Missouri

Co-hosted by the Springfield Astronomical Society and by the Ozarks Amateur Astronomers Club, Department of Physics, Astronomy and Materials Science, and the College of Natural and Applied Sciences at Missouri State University

You MUST complete ONE Registration form for EACH person registering for the MSRAL convention

Email address
Astronomical League
First Name
Use the name you would like to appear on your badge. Your legal name will be used at registration.
Your answer
Last Name
Your answer
Street Address
Your answer
Address Line 2
Your answer
City
Your answer
State
Zip Code
Your answer
Phone Number
Your answer
Society, Club, or Organization
Your answer
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