** RADIO DAZE 2001 REGISTRATION FORM **

Mail 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:

$14.00

________

$ _________

Buffet Lunch - per person:

$8.00

________

$ _________

Seller Space: Each Parking Space:

$15.00

________

$ _________

NARC Membership (optional):

$12.00

________

$ _________

 

Total Remittance:

$ _________

 Make Checks payable to the Northland Antique Radio Club.

Note: A single registration covers all household members. Be sure to pre-register! At the event the fee is $13 (members) or $16 (non-members).

Name(s) :

__________________________________________________________

Street :

__________________________________________________________

City, State, Zip :

__________________________________________________________

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