Registration Form

Online with credit card payment thru PayPal
OR Check or money order payment (print form after pressing SUBMIT)

Todays date: / /
Membership cost:
Dealer Table cost:
 
REGISTRANT #1: (Required Fields*)
  
Name:
*
  
Address:
*
  
City:
*
  
State/Prov.
*
  
Zip/Post.
*
  
Phone:
 
Email:
*
 
T-Shirt Size:
*   ($3 extra for XXXL)
  
 
REGISTRANT #2:
  
Name:
 
Address:
 
City:
 
State/Prov.
 
Zip/Post.
 
Phone:
 
Email:
 
T-Shirt Size:
   ($3 extra for XXXL)
  
Estimated Dates of Arrival and Departure: -
 
Qty.
Price
Membership(s):
(computed automatically)
$55
Dealer's Tables:
$40
Notice: Dealers and their helpers
must have convention memberships
to reserve a table.
CHECK BOX if we are mailing your packet(s).
Total: 
 
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