Convention 2010 Registration Form

Please enter your names as you want them to appear on your name tags.

Pre-registered Prices:
(Postmarked no later than March 9th, 2010)		 Single Adult $35
Married Couple $45
Child/Grandparent (with paid adult)  $10 each
Your Name:
Spouse's Name:
 (if attending)
Address:
City:
State/Province:
ZIP/Postal Code:
Your Email:
Phone:
Children's Names:
(if attending)
Grandparent's Names:
(if attending)

Additional Donation:
(Tax Deductible)

Total to be paid:
I might like to volunteer a little of my
time to help at this year's convention.
Please contact me with more details.          

How did you find our site?                              

Your comments and suggestions: 
                  

Press "Send Form" to submit your registration. 
After submission hit your back key and you will
be return here to choose a form of payment. 

     

 

 

Forms of Payment:  

You must pay through PayPal online by March 3rd, 2009 or register at the door.