Registration Form

ORDER YOUR 50TH CELEBRATION SWAG
LIMITED TIME ONLY!!!
AVAILABLE UNTIL 3/17/19!

THIS IS THE NEXT BEST THING TO BEING THERE!

IF YOU UNABLE TO ATTEND THE CELEBRATION, HERE IS YOUR CHANCE TO GET YOUR HANDS
ON ALL THE FANTASTIC SWAG THAT WE ARE GIVING TO EACH ATTENDEE!

IN THE COLLECTION WILL BE:

PERSONALIZED NAME TAG
DELUXE SOUVENIR PROGRAM
SOUVENIR PHOTO & FOLDER FRAME
SPECIALTY GIFTS
plus ADDITIONAL SURPRISES

DUE TO SHIPPING COSTS, WE WILL ONLY BE ABLE TO OFFER THIS
TO ADDRESSES WITHIN THE UNITED STATES.

NOTE: SWAG BAGS WILL NOT BE SENT OUT UNTIL MID-MAY

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Full Name Address 1 Swag Bag - $50.00 Please upload a photo of yourself for your name tag Grand Total Postage (US Only) - $15.00 Zip/Postal Code Address 2 Cell Phone Notes (Optional)

ALL FIELDS ARE MANDATORY (UNLESS NOTED)

Street address, P.O. Box... etc.

Apartment, suite, unit, building, floor... etc.

City State/Province Country

As to appear on your name tag

First Name Confirmation #

A SPECIAL THANK YOU TO
GRAHAM WOOD FOR HELPING ME TO GET THIS REGISTRATION FORM WORKING!

Email Photo Upload

Method Of Payment T-Shirt Size (American Standard)