May 3, 4, 5, and 6
| PLEASE USE THE FORM BELOW TO ORDER YOUR WEEKEND REGISTRATION
Please provide the name and address of each registrant Name ______________________________________________ Address ____________________________________________ ___________________________________________________ Telephone ___________________________________________ Fax ________________________________________________ E-mail ______________________________________________ **************************************************************** ___Weekend Registrations, WITH EARLY ADMISSION @ $60 each $ _____
TOTAL $ _______ Please make remittance payable to Chicago Pen Show and send to Daniel A Zazove, Perkins Coie, LLP, 131 S. Dearborn St., #1700, Chicago, IL 60603., U.S.A. Non-U.S. registrants please remit using traveler’s checks or international money order in U.S. Funds.
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