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~Print A Copy, Complete & Send With A Check~
Name __________________________________ |
CMB#_________ CH&MBS#__________ |
Address ________________________________ |
E-mail _____________________________ |
City State Zip____________________________ |
Phone ( _____ ) _____________________ |
Display Needs: ______ Table(s). Please provide scale(s), diagram of display space, brief description on back. One 30" x 96" table is included. All tables must have skirting. Supply you own stanchions if needed. Electric________ Yes_______No Extra Tables______@12.00 each Membership Restration $65.00 Includes: Ordinary display needs, Program/Packet, raffle and door prize tickets one ticket to banquet, and daily CMB show entrance. FamilyGuest Names_____________________________________________________________________@28.00 each Vendors: Contact Ralph Johnson for details about sales tables or free standing space. Ralph Johnson 2317 Happy Hollow Road West Lafayette, Indiana 47906-1708 (765) 463-6630 | |
Make Check Payable To: Pat Kelley Ring #118 And Send To: Dominic L. Yodice 90-23 199th Street Hollis New York, 11423-2702 |
After June 15th Add $10.00 Late Registration Fee ________ Extra Tables @ $12.00 each ________ Members @ $65.00 each ________ Guests @ $28.00 each ________ TOTAL ________ |
John Wright Rural Route 2 Box 220 Clinton, IL 61727 (217) 454-4654 bigE@speednet.com |
Wayne Scheiner 1649 Park Avenue Hanover Park, IL 60133 (630) 830-8441 circuscheiner@comcast.net |
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