REGISTRATION FORM (PLEASE PRINT
CLEARLY)
Please register me for:
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 Full Convention Package F/S/S
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Fulltime Student Convention Package F/S/S
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Saturday Seminar Only
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Sunday Only Keynote – Gil Lopez-Espina
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Saturday Seminar and Banquet Package
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On Saturday I will attend (check one):
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Monte Zucker Workshop
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Traditional Convention Track
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Name: ______________________________________Camera Club_________________
Additional
Name:__________________________________________________________
Address:_______________________
City:___________________ State/Province:______
Zip/Postal
Code:______________ Phone:_______________ Email:__________________
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Full Weekend Ticket(s) at $110 each Cdn ... $95 each US
___ Special full time student full weekend package $75 USD or CAD with proof of enrollment
___ Friday Only Ticket(s) at $5 each Cdn or US
___ Saturday Seminars and Banquet Only Ticket(s) at $95 each Cdn or $80 each US
___ Saturday Seminars only (no Banquet) — $70 CAD — $60 US
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Sunday-Only Ticket(s) at $25 each Cdn or $20 each US
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Refunds are available, less 20% handling charge, up to March 1, 2006. Tickets for orders received after March 1, 2006 will be held for pickup at the convention registration table. Please notify the registrar, in writing, if you have any medical or dietary needs.
Mail registration to:
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