Registration Form
Starwood XXXI - July 5 - 11nd, 2011
Please use a separate form for each person registering. Copy this form if
necessary.
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*)______
Street_______________________________________________________________
City_______________________________ State_____________ Zip_____________
Phone: Day ( ) ______________________ Evening ( ) ________________________
E-mail ____________________________ URL ______________________________
Fees:
| 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: _______________
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Please make checks payable to A.C.E. LLC and send to: |
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| A.C.E. - Attn: Registration, 1643 Lee Road, #7 Cleveland Heights, OH 44118 |
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216.932.5421 |
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