2011***EX-CON*** 2011
June 11th
Registration Form


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Agency : ___________________________________ Post # : _________________

Advisor Name : _____________________________Phone # : _________________

Address : ___________________________________ City : __________________ State : ____

E-Mail : ____________________________


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Registration Fees : Advisors & Explorers - $85.00

*** T-shirts, Lunch, and Gift bags for registered Explorers and Advisors only


Number of Explorers _________ x $85.00 = _______________

Number of Advisors _________ x $85.00 = _______________

Total Fees = _______________

*** Make checks payable to EX-CON Conference


Shirt Sizes : XXL ______ XL ______ L ______ M ______ S ______ Total # of Shirts : ______

 

Submarine sandwiches will be provided for each registered competitor/advisor.  Each person is allotted a 12 OR 6 inch sub of either turkey, roast beef OR ham, and condiments will be on the side. Potato chips are also provided.   To prevent food from being wasted, please advise the number of 12 inch and/or 6inch subs desired, with what type of meat.

6” Turkey_________  6” Roast Beef________  6” Ham_________

12” Turkey________ 12” Roast Beef________  12” Ham_________

Ex-Con
Po Box 33747
Las Vegas, Nevada 89133-3747