NCPS Reunion 2008 Nashville

Please fill in this form to register. The red dots indicate required fields.

First name   *  
Last name   *  
Street    
City    
State    
ZIP Code    
Phone   *  
Mobile phone    
Email   *  
Any Diet Restriction?    
Nametag(s) to read:   *  
Registration Fee   *   $44 Member
$54 Non-Member
Spouse     $22 Spouse
Sat TCRM Train Ride & Lunch   *   $0 - will not ride train
$36 - 1 person
$72 - two people
Annual Membership - Due 5/1
Note: we will waive non-member fee
if you purchase annual membership.
  
  $20 Single Membership
$25 Family Membership
If new member,
please indicate if we can share
your information with other members
  
  Yes
No - please keep info private
Please indicate if you wish to be included in periodic member directories. Your information will never be shared except with other NCPS members.
Donations - Always Accepted.
May we suggest a donation of $3-5
to cover costs of PayPal procesing?
Thank you.
  
  $3
$5
$10
$25
$50
Late Fee - after May 7   *   Late Fee - after May 7
I am interested in...     Helping with Open House Saturday
Ladies Activities
I will enter the Model Contest     No - Model Contest
Yes - Model Contest
I will bring items for display     No Display Items
Yes - Display Items
I will bring Models to display/run     No Models to Display/Run
Yes - Models to Display/Run
I plan to arrive about (what day/time)...    
Payment Method   *   PayPal
Payment must be made through Paypal. Mail in registration no longer accepted after May 7.
Comments    
     


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