<p> The Suncoast Limited NMRA Sunshine Region Fall 2003 Convention Hosted by The Suncoast Model Railroad Club Registration Form</p><p>Name: ______Phone: (_____)______(As desired on Name Badge) Family Registrant Names:______Address: ______City: ______State: _____ Zip: ______E-Mail: ______Are you staying at the Hilton? Yes ____ No ____</p><p>Accommodations: The Convention Hotel is the St. Petersburg Hilton, 333 First Street South, St. Petersburg, FL 33701. The Convention Room rate is $85 plus tax per room per night. This includes valet parking. This rate is available from September 8th through September 17th but your reservation must be made by August 11th. Room reservations should be made directly with the Hotel at (727) 894-5000. To receive the Convention Rate, you must say you are with the “NMRA Sunshine Region Fall Meet”. Registration: Quantity Total Member / Family full registration by August 1 ______@ $65 ______………………………………… Member / Family full registration after August 1 . ______@ $70 ______……………………………. Member / Family convention only registration by August 1 ______@ $35 ______……………… Member / Family convention only registration after August 1 ______@ $40 ______………….. Non SSR Member Surcharge ______@ $ 6 ______………………………………………………………….. Registration Subtotal: ______…………………………………..</p><p>Member / Family full registration includes contests, displays and Train Show for primary registrant and immediate family members, but includes clinics and the Saturday evening banquet for the primary registrant only.</p><p>Extra Fares: Quantity Total Friday Bone Valley Extra (includes lunch) @ $59 ______………………………………………… Friday Florida International Museum @ $ 8 ______………………………………………………. Saturday Gulf Coast Railroad Museum (includes lunch) @ $59 ______………………….. Saturday evening banquet @ $40 ______……………………………………………………………… Convention Tee-Shirt (circle size) S M L XL @ $18 ______…………………………. Convention Tee-Shirt (circle size) XXL XXXL @ $20 ______…………………………… Orders for Tee shirts must be received by August 15. Extra Fare Subtotal: ______……………………………………….. Registration Subtotal: (from above) ______……………………. Grand Total : ______……………………………………….</p><p>Please make your check payable to: Suncoast Model Railroad Club. You may also pay by credit card by providing the following information: Card Type: M/C Visa Discover A/E (circle applicable card type) Card Number: ______Expiration Date: ______Name as printed on card:______Signature (same as name on card):______(Cards will not be charged until September.) Mail this form with your check or credit card information to: Elmer Biedrzycki—Registrar, Suncoast Model Railroad Club, 12355 62nd Street North, Largo, FL 33773.</p><p>Registrations received prior to July 1, 2003 will receive double door prize tickets.</p>