Starwood XXXI - July 5 - 11nd, 2011
Please use a separate form for each person registering. Copy this form if
Make checks or money orders payable to A.C.E. (US$ funds ONLY) - Please print legibly.
DO NOT mail registration forms after June 15, 2011. After that date you must pay cash at the door.
Legal Name_________________________________________(Age, if Minor*)______
City_______________________________ State_____________ Zip_____________
Phone: Day ( ) ______________________ Evening ( ) ________________________
E-mail ____________________________ URL ______________________________
|Members postmarked on or by June 15, 2011 . . . $175.00:|
|At the door (Cash or money order only) . . . . . . . . $205.00:|
|All others postmarked on or by June 15, 2011 . . . . . . $190.00:|
|At the door (Cash or money order only) . . . . . . . . .$225.00:|
|Child (6-17)||*Minors must accompanied by parent or legal guardian . . $50.00:|
|No Merchant Fee this year! Fill in below and your name will be listed in the program for no charge.|
|Merchant (Business) Name:|
You may pay with either VISA or MasterCard. Please fill out the
following information or charge by phone by calling the numbers below.
Specify which card (circle logo)
Card #: ____________________________ Expiration Date: ____________________
Signature: __________________________ Zip Code of Cardholder: _______________
Please make checks payable to A.C.E. LLC and send to:
| A.C.E. - Attn: Registration,
1643 Lee Road, #7
Cleveland Heights, OH 44118