MN PEZCon 15 Mail-in Registration

Membership gives you admission to all of the activities scheduled for Thursday, Friday and Saturday. Your membership packet will include a MN PEZCon 15 T-shirt, a convention pin, PEZ dispenser, a name badge and other PEZ goodies. The name badge must be worn at all times while room hopping and during the convention show on Saturday.
REGISTRANT #1:   REGISTRANT #2:
Name: ____________________________________
Name: ____________________________________
Address: __________________________________
Address: __________________________________
City: _____________________________________
City: _____________________________________
State/Prov. ____________ Zip/Post. ___________
State/Prov. ____________ Zip/Post. ___________
Phone: ___________________________________
Phone: ___________________________________
Email: ___________________________________
Email: ___________________________________
T-Shirt Size: __________ (Adult S thru 3X)
T-Shirt Size: __________ (Adult S thru 3X)
Estimated Dates of Arrival and Departure: ____________________
Code: 080710WB
 
Quantity

Price before
7/10/10
Price after
7/10/10
Sub-Total
Membership(s):
        
$35
$45
          
XXXL T-Shirt ($3 extra):
        
$3
$3
          
Dealer's Tables
Full:
        
$40
$50
          
Notice: Dealers and their helpers
must have a convention membership
to reserve a table.
 Half:
        
$25
$35
          
 
Not attending?
Please add $7 for ea membership for S&H
          

Tables measure 8 feet x 2 feet.

  
Total Enclosed:
          

Please output and send completed form with full payment by check or money order to:
MN PEZ Con, 7207 39th Street North, Oakdale, MN 55128 USA

If you provide an email address, we'll send a confirmation of your registration and payment.

PayPal LogoIf you plan to pay by credit card through PayPal.com, please mail this completed form to the address above.
Send PayPal payment to dkraft1@mnpezcon.com with "MN PEZCon" as the description.