** RADIO DAZE 2005 REGISTRATION FORM **
 

Fee

Quantity

Total

Member: NARC____ Pavek____ AWA____ Pre-Registration:

$11.00

________

$ _________

Non-member Pre-Registration:

$16.00

________

$ _________

Radio Daze Luncheon - per person:

$9.00

________

$ _________

Seller Space: Each Parking Space:

$15.00

________

$ _________

NARC Membership (optional):

$12.00

________

$ _________

Shirts (Total from shirt order form):

$ _________

 

Total Remittance:

$ _________

 Make Checks payable to the Northland Antique Radio Club. Mail before May 13 to: NARC, P.O. Box 18362, Minneapolis, MN 55418

Note: A single registration covers all household members. Be sure to pre-register! At the event the fee is $14 (members) or $18 (non-members).

Name(s) :

__________________________________________________________

Street :

__________________________________________________________

City, State, Zip :

__________________________________________________________

E-Mail / Phone :

__________________________________________________________

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


** NARC SHIRT ORDER FORM **

These are very good quality shirts with a small Northland Antique Radio Club logo embroidered on them.

All gray shirts are available in S, M, L, XL, XXL, and XXXL.

XXXL blue shirts not available

 

Cost

Size

Quantity

Total

Light Gray Polo Shirt:

$18.00

________

________

$ _________

Medium-Blue Polo Shirt:

$18.00

________

________

$ _________

Gray Sweatshirt:

$23.00

________

________

$ _________

Gray Hooded Sweatshirt, Zipper Front:

$23.00

________

________

$ _________

Add $2 per shirt, XXL and XXXL sizes:

$2.00

________

________

$ _________

 

Total:

$ _________