2010 ICCC Convention

June 24-25-26

Registration Form 

Name__________________________________________________________________

                                                           Please print the names of each attendee

Address________________________________________________________________

City ____________________________ State/Prov./Zip _________________________

Phone (        ) _____________________ Email ________________________________

Member Number ______If this is your first convention please check here _______

Registration Fee per Person

          Post marked before May 1^st: $15.00 x each person                            $ _________

          Post marked after May 1^st: $20.00 x each person                              $ _________

Tables

          Sales Table (8’) number needed _______ x $20.00 each                   $ _________

          Display Table (8’) No Charge, number needed _________

          Special needs – Electricity _____Wall space _______ (1^st come basis)

Limited number of tables available, so please reserve early.

Table covers required. Will you be providing your own table covers? Please circle one (YES) (NO) 

All fuel must be emptied from show items before entering convention site, per fire code regulations.

Dinners

BBQ – June 24 (Thurs)

Post marked before May 1^st: $15.00 x each person                          $ _________

          Post marked after May 1^st: $20.00 x each person                            $ _________

Banquet/Business Meeting – June 25 (Fri)

Post marked before May 1^st: $25.00 x each person                          $ _________

Post marked after May 1^st: $30.00 x each person                             $ _________

Grill Salmon x each person ________ 

Stuffed Chicken Breast x each person ________

(Please pick only 1 entrée per person)

                                                                                Total amount            $ _________

Make checks payable to: I.C.C.C.                       Send to: Tim & Carla Murphy

                                                                                          17220 35^th Ave. So.

                                                                              SeaTac, WA 98188

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