| 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. |
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