October 6-8, 2006
ConClave Room Block Opens September 1, 2006
Crowne Plaza Hotel
Detroit Metro Airport
Romulus, Michigan USA
ConClave 31 -- Huckster Registration Form
Please print and mail this form to register for ConClave 31. You can print this form and fill it in by hand. (Please print clearly -- Neatness counts!) Or (hint, hint), you can type in your information here then print the completed form. Please mail this completed registration form to:
Conclave, Inc.
C/O Barber
2737 Colony Road
Ann Arbor, Michigan 48106
In either case, include your check or money order payable in U.S. funds to ConClave, Incorporated.
Please Provide your Name, Company Name, and Address:
Name (Last, First): ________________________________________________
Company Name: ______________________________________________________
Street Address: ____________________________________________________
City: _______________________________ State/Province:_______________
Country: ____________________________ ZIP/Postal Code:______________
Telephone: _________________________________________________________
E-mail Address: ____________________________________________________
Number of Tables: ______Special Needs (electricity, wall, etc.): ______
______________________________________________________________________
Your First Huckster Table includes one (1) Full Membership to ConClave 31.
You can also purchase additional Memberships at our special Pre-Registration Rates
Yes! Please register us for the following additional ConClave 31 Memberships:
____ Membership(s) at $40 (Through Labor Day, 2006) = ___________
=============================================================
Total Additional Memberships = ___________
Please Provide Names for Each Additional Membership:
Name 2 (Last, First): __________________________________________________
Name 3 (Last, First): __________________________________________________
Name 4 (Last, First): __________________________________________________
For general ConClave Convention Information, please visit the ConClave 31 Home Page on the Internet at http://www.conclavesf.org