REGISTRATION FORM for the 2010 Congress of the GCNA

REGISTRANT NAME(S) ____________________________________________________________

                _______________________________________________________________

MAILING ADDRESS _______________________________________________________________

                _______________________________________________________________

PHONE __________________________   EMAIL ______________________________________

LOCATION/TOWER ________________________________________________________________
               (as you would like it to appear on your name tag)

________ Check here if this is your first GCNA Congress

________ Check here if you will have a car at this Congress

NOTE: Depending on the number of personal cars available at this Congress, we may need to hire busses for the Friday event, in which case the cost will be collected at the Congress.

FEES (rolled back to pre-recession rates, thanks to our generous sponsors):

Number of Registrants ______ x $140                              = $ __________
                             x $150 if sent after May 1

Additional Thursday night Banquet tickets
                            for non-registrants ($50 per ticket) = $ __________

Friday tour of "Place de la Musique" ($25 per person)            = $ __________
       Space is limited, so you MUST pre-pay for this event.

Processing fee - if paying by credit card through PayPal ($10)   = $ __________


                                                         TOTAL   = $ __________


Banquet entrée choice:
   -   Herb Roasted Pork Loin   _____ or
   -   Tortilla Crusted Tilapia _____ or
   -   Curried Vegetable Kabob  _____

Mail completed form, together with payment (personal check in US$, made out to "Millennium Carillon Foundation), to

GCNA 2010 Congress
c/o Tim Sleep
28W640 Warrenville Road
Warrenville, Illinois 60555