|
Convention Registration Form
Lucky 21
The 21st Annual National Sweepstakes Convention
Bloomington, Minnesota
September 2nd – 5th, 2010
Registration Fee: $250 per person
Non-registrant: Banquet = $50; breakfast = $15 each
__________________________________________________________________
Last Name (Please Print) First Name (Name tag name, if different)
__________________________________________________________________
Street Address
__________________________________________________________________
City State ZIP
__________________________________________________________________
Email Telephone
T-Shirt Size:
Small Medium Large Extra Large ExtraExtra Large
___ S ___ M ____ L ___ XL ___ XXL
This will be my first convention _____YES ______NO
Refund Policy: No refunds will be given after 8/1/10.
Please make checks payable to “21st National Sweepstakes Convention” and mail to:
Convention Registration
PO Box 486
Willernie, MN 55090
I, the registrant, agree to hold harmless, the 21st Annual National Sweepstakes
Convention and its representatives, vendors and participants for any loss or
personal injury that may occur as a result of attendance at the convention and
agree to the convention rules.
__________________________________________________/_______________
Registrant’s Signature Date
Guest Ticket Registration Form
21st Annual National Sweepstakes Convention
Bloomington, Minnesota
September 2d – 5th, 2010
________________________________________________________________________
Last Name First Name
________________________________________________________________________
Street Address
________________________________________________________________________
City State ZipCode
________________________________________________________________________
Registered Attendee’s Name
Please make checks payable to “21st National Sweepstakes Convention” and mail to:
Convention Registration
PO Box 486
Willernie, MN 55090
Events and Prices (for non-registered accompanying guests):
Banquet: $50.00 ___________
Friday Breakfast $15.00 ___________
Saturday Breakfast $15.00 ___________
Sunday Breakfast $15.00 ___________
Total: $__________
|
