Pre-Registration Form
                                  
Upper Midwest Regional Porcelain Art Show 2010

Hospitality Package:
(Deadline to purchase the hospitality package is April 15, 2010. Paint-along sessions and meals will be filled on a first come basis. See attached information for details.)
Please fill out a separate form for each person purchasing items.

Name: ___________________________________________________________________

Address: _________________________________________________________________

City: ____________________________ State: ________________________Zip:________

Phone: __________________ E-Mail: ______________________________

_____
Hospitality Package - $75.00 ea.                                              $______.___ 
   (Includes meals listed below plus lots more, see attached information sheet)
  
Individual Meals:   
    _____ Thursday – “Golden Egg Mystery” Dinner - $30.00 ea.                     $______.___

    _____ Friday – “Swimming with the Fish” Banquet
                                       & Silent Auction - $35.00 ea.                                $______.___

    _____ Saturday – “Mississippi Riverboats” Breakfast - $23.00 ea.               $______.___


_____
Paint-Along – Be sure to bring your paints - $30.00 ea.                  $______.___    
                Circle desired artist:
                                   Nancy Benedetti         Barbara Ramsey Snow
                                   Randy Wollet             Stephen Hayes

_____
Demonstration Tickets - $3.00 ea.                                           $______.___
   
_____
Raffle tickets - $2.00 ea. / 3 for $5.00                                           $______.___

                                                                                    
Total Purchases   $______.___




Amount Enclosed: $______________          Check #__________           Cash___________

          Please make Check Payable to:
Upper Midwest Regional Porcelain Art Show.
                     Mail this completed form (keep a copy for your records) to:       
                                                                                      Darlene Kaufmann
                                                                                      Show Treasurer
                                                                                      1430 Reeder St.
                                                                                       Dubuque, IA 52001

          
All tickets will be picked up at the registration table outside the Grand Exhibit Hall.
To return to the Convention 2010 page, click here.