DISPLAY EXP'01 REGISTRATION FORM

DISPLAY EXPO 2001  P.O. Box 9562  Niskayuna, NY 12309

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{PLEASE PRINT THIS SHEET AND SEND IN WITH YOUR PAYMENT. THANK YOU!!!!!}

ATTENDEE 1: (LAST)_________________________________(FIRST)___________________________

CIRCLE MEAL CHOICE LETTER:  (B) Roast Beef   (C) Chicken    (F)  Fish    (V) Vegetarian

ATTENDEE 2: (LAST)_________________________________(FIRST)___________________________

CIRCLE MEAL CHOICE LETTER:  (B) Roast Beef   (C) Chicken    (F)  Fish    (V) Vegetarian

For additional attendees, please attach a list with names and meal choice.

Street:                                                                                                                        

City:                                                             Zip Code:                                           

Email Address for Confirmation:                                      @                               

Club Affiliation (If Any):                                                                                      

         Sign up for:              Number             Price        Extension         

Registration              ______    @    30.00    ______

Saturday Banquet   ______    @     35.00    ______

Sunday Breakfast  ______      @    15.00     ______

Weekend Package

Number         Price       Extension

                                           _______    @   80.00      _________

MAKE CHECKS PAYABLE TO:

DISPLAY EXPO 2001

Mail To: DISPLAY EXPO 2001

P.O. BOX 9562

NISKAYUNA, NY 12309

Canvas Exp'01 Event Tote Bags and Event Pins are included in your registration fee. All items for which you have paid will be indicated on your Identification Badge. (No tickets are required) Your check is your receipt.

If you wish a confirmation of your event registration, please enclose a self-addressed envelope.

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NOTE: Prepaid Display Exp'01 registrations received by August 1,2001 will be entered into a drawing for one free night's lodging!

CLICK HERE FOR SPECIAL DISPLAY EXP'01 ROOM RESERVATION INFORMATION