Magic Minnesota FEW Bloomington, MN 2010 Registration Form

Please provide the following registrant information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail	Johndoe@aol.com
your webpage

Select any of the following options that apply: Please check appropriate box: 

2 day registrants receive a workshop notebook with outlines, resources and educational articles about entertaining magic.

Early bird (before 4/1/2010)  Friday 5/21/2010 & Saturday 5/22/2010  ONLY $100
Regular Registration (after 4/1/2010) $110 Friday 5/21/2010 & Saturday 5/22/2010  ONLY $110

Single Day Rate $55 Friday 5/21/2010  if registering before 4/1/2010
Single Day Rate $55 Saturday 5/22/2010  if registering before 4/1/2010
Single Day Rate $60 Friday 5/21/2010 if registering after 4/1/2010

Single Day Rate $60 Saturday 5/22/2010  if registering after 4/1/2010

 

 

Pre Day Rate $40 Thursday 5/20/2010 if registering before 4/1/2010

Pre Day Rate $45 Thursday  5/20/2010 if registering after 4/1/2010

 

If registering at the door an additional $5 per day of event

 

The Friday and Saturday night shows are an additional $5 for guests with children or adults. Registered participants admitted free of charge.

Accommodations are separate. You must arrange those yourself with Hotel

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Method of Payment Money order/cashiers Check personal/business check Credit Card    (Payable to FEW)

Credit Card #       Expiration Date 

           Name and Address on the Card Billing: (Cards processed through Mirthworks, Inc)

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Total Amount Charged on your credit card     

Signature for your credit card  _______________________________________

                                               (after you print out completed form)

Any special concerns we should know? 

INSTRUCTIONS : After Filling in form on your computer, print it out and mail or fax it to:

     Magic Minnesota FEW

     1227 Manchester Ave.               OR       FAX it to secure fax line # 757-489-1587

     Norfolk, VA 23508-1122

BEFORE SENDING IN FORM- If you used a credit card, did you sign the form?