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:
S
M
L
XL
XXL
XXXL
*
($3 extra for XXXL)
REGISTRANT #2
:
Name:
Address:
City:
State/Prov.
Zip/Post.
Phone:
Email:
T-Shirt Size:
S
M
L
XL
XXL
XXXL
($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:
