BuiltWithNOF
Registration

2015 Registration Form

 Name

 Address

 City/State/Zip

 Telephone

 eMail

  Exhibitor Registration with Table ($75.00 with power)

  Exhibitor Registration with Table ($50.00 w/o power)

  Friday Public Admission - 3pm entrance ($5.00)

  Saturday Public Admission - 10am entrance ($5.00)

  Total

 

Please make your check payable to:
Michigan Pen Collectors

And send Check to:

Lih-Tah Wong
2415 Hornbeam Drive
Sterling Heights, MI 48314
USA

Fax: (775) 414-5237
or eMail LTW@parker75.com

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