** RADIO DAZE 2000 REGISTRATION FORM **

Print and Mail this before May 12 to:
NARC, P.O. Box 18362, Minneapolis, MN 55418

Fee

Quantity

Total

Member: NARC____ Pavek____ AWA____ Pre-Registration:

$10.00

________

$ _________

Non-member Pre-Registration:

$13.00

________

$ _________

Buffet Lunch - per person:

$8.00

________

$ _________

Seller Space: Each Parking Space:

$10.00

________

$ _________

NARC Membership (optional):

$10.00

________

$ _________

Total Remittance:

$ _________


Notes :
Make Checks payable to the Northland Antique Radio Club.
A single registration covers all household members.
Be sure to pre-register! At the event the fee is $12 (members) or $15 (non-members).

Name(s) :

__________________________________________________________

Street :

__________________________________________________________

City, State, Zip :

__________________________________________________________

I plan to enter ______ items in the contest.
I plan to sell ______ items in the auction.