Please print this registration f

Please print this registration form and mail to the pre-registration chairman at the address given on the bottom of the form.

Pre-Registration Form for 2010 Lone Star Regional

Friday, March 5 and Saturday, March 6, 2010.

Tables reserved by groups must be received in one envelope.
All pre-registrations received by February 23, 2010 will be confirmed by mail.
Refunds will be granted up to March 4.
Tables must be set up and displayed in the Mart.
Only horological items may be bought/sold in the Mart.
Only members of the NAWCC, their spouse, and their children under 18 will be admitted to the Mart.
All Educational Programs and the Exhibit are free and open to the public.
No Pets allowed in Mart except for guide dogs with visually impaired persons
NAWCC Officers and Members are not responsible for any loss, damage, injury or tort during this Regional. NAWCC Regional Convention Rules will govern.

(BLOCK PRINT ALL ENTRIES, PLEASE)

NAME ____________________________________________ NAWCC No. ___________

PHONE (____) ________________ Email: _______________________________________

ADDRESS _________________________________________________________

CITY ___________________________________ ST _______ ZIP _____________

FIRST OR NICKNAME FOR BADGES (Include Member, Spouse and Children)

(_________________) (_________________) (_________________) (_________________)

	Quantity	Price_Each	Total
Mart Admittance (NAWCC Members or Spouse)	______	@ $25.00 ea	$________
Mart Admittance (Members Children under 18 admitted free)	______	Free	$ 0.00
Mart Table (8 foot)	______	@ $35.00 ea	$________
Friday Night Banquet (Pre-Registered Only)	______	@ $25.00 ea	$________

Check No:_____________ Total = $______________

I am bringing: __ WATCHES __ CLOCKS __ TOOLS __ BOOKS

Payment in US Currency or Check Only.

Make checks payable to LONE STAR CHAPTER 124 and mail to Gene Meysenburg, 11028 Creekmere Dr, Dallas, TX 75218.