Registration

June 5th & 6th 2009

Name ______________________________________IPMS?USA#_______
Adress _______________________________________________________
___________________________________Phone #___________________
IPMS/USA chapter affiliation ___________________________________
(If applicable)
Pre-registration must be postmarked no later than May 6th, 2009

Adult Pre-registration ( unlimited models) $17.00 (times up)
Adult Pre-registration IPMS/USA member $12.75 (times up)

                                        Junior Pre-registration $7.00 (times up)

After May 6, 2008, and at the door , the following rates apply
               Adult registration (unlimited models) $20.00 _______
              Adult registration IPMS/USA member $14.00 _______
Junior registration under 12 (unlimited models) $9.00 _______
                                                          Banquet ticket $30.00_______
 

Checks should be made out to: Centennial IPMS Total _______

Send to :
106 Holly St.
Colorado springs, Co 80904

www.centennialipms.org

Please print this page and send it in with your payment. Thank you.