Membership Form
Do NOT Mail Your Membership In After 10/1
Memberships ARE Still Available, and Can Be Purchased At the Door in Montreal
Date __________________
Name(s) _______________________________________________________________
Address _______________________________________________________________
City _____________________ State/Prov _______ Postal Code ________
Country _________ Email _____________________________
Profession _______________________Phone ______________________
____ Attending Membership(s) at $_____ per membership. = $ ___________ ____ Supporting Membership(s) at $_____ per membership. = $ ___________ ____ Banquet Ticket(s) at $_____ per ticket. = $ ___________ ____ Dealers Table(s) at $_____ per table. = $ ___________ What items will you sell at your dealers table? ____________________________ ____ Art Show flat/3D space(s) at $_____ each. = $ ___________ (circle one) Flat 3D Space
METHOD OF PAYMENT: __ Enclosed is my check or money order. Please make payable to 2001 WFC. __ Please charge my credit card. Visa or MasterCard only, please.
Card type (circle one) - Visa MasterCard Number _________________________ Exp _________
The rates and cutoff are as follows: Mail in Memberships will not be accepted after 9/30/01 $275 Canadian, $200 USD at the Door Supporting - $45 Canadian, $30 US dollars
Please send me more information on the following (check those applicable) __ Program Participation __ Art Show __ Dealer's Room __ Volunteering __ Advertising __ Banquet
Mail to: 2001 WFC, P. O. Box 7191, Chandler, AZ 85246-7191 USA
CONTACTING THE CONVENTION
Mailing Address:
2001 WFC
PO Box 7191
Chandler, AZ 85246-7191 USA
Email: Bruce Farr
Telephone: (602) 395-1945
(Please address your mail/email to the attention of the department you want to contact) |