** RADIO DAZE 2012 REGISTRATION FORM **

Print and Mail this before May 11, 2012 to:
NARC, P.O. Box 18362, Minneapolis, MN 55418

Help support this, and future NARC events, by registering! Registration is required to sell items in the parking lot, and for admittance to the Hospitality Room, the Pavek Museum, and for all indoor events except the auction. Registration is not actually required to buy or sell at the auction, or to buy at the outdoor swap meet, but we do encourage everyone to register since your support is needed to continue holding these meets in the future. All who register will be added to the NARC mailing list and may receive emails when we learn of other area auctions, sales, etc., that would be of interest to radio collectors.

  Fee Quantity Total

Member: NARC____ Pavek____ AWA____ Pre-Registration:

$11.00

________

$ _________

Non-member Pre-Registration:

$16.00

________

$ _________

Seller Space: Each Parking Space:

$15.00

________

$ _________

NARC Membership (optional):

$12.00

________

$ _________
 
Total Remittance:

$ _________

Please make your check payable to the Northland Antique Radio Club.

Note: A single registration covers all household members. Be sure to pre-register! At the event registration is $15 (members) or $20 (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.