ConClave 32
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
In either case, include your
check or money order payable in
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 32.
You can also purchase
additional Memberships at our special Pre-Registration Rates’
Yes! Please register us for
the following additional ConClave 32 Memberships:
____ Membership(s) at $35 (Until October 1,
2007) = ___________;
=============================================================
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 32 Home Page on the Internet
at http://www.conclavesf.org