Convention Registration For

[Under Construction]

2012 Convention Registration Form

NAME ____________________________________________________________

Spouse/family/guest name____________________________________________

Horological Affiliation_________________________________________________

Member # _________________________________________________________

Email address_______________________________________________________

Full time________________Part Time__________________Student____________

Registration Fees Schedule

MWCA or MCG member: $40 if pre-registered WE MUST receive this by March 21st or you will pay $50 at the door

Non-members pay Association dues of $35 & registration fees for a total of $75 if pre-registered or you will pay $85 at the door

Buffet luncheon is included in registration. Spouse or guest of convention participant not involved in conference will pay additional $20 for lunch.

Pre-registration is requested to get a correct luncheon head count. Luncheon seating may not be possible for late or same day registration.

TO REGISTER ON LINE

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