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NATIONAL MILK GLASS COLLECTOR'S SOCIETY

ANNUAL CONVENTION REGISTRATION

June 26 - June 29, 2003

Wheaton Village, Millville, NJ

PRE-REGISTRATION IS REQUIRED IF YOU PLAN TO ATTEND THE CONVENTION OR ANY PORTION OF THE CONVENTION.  PLEASE COMPLETE AND RETURN THIS FORM TO ARLENE JOHNSON BEFORE MAY 23, 2003.  AFTER THAT DATE THERE WILL BE A $5.00 LATE REGISTRATION FEE.



Member Attending:__________________________________________________________________    

Address:__________________________________________________________________________

E-mail Address______________________________________ Phone:__________________________

Name of guest/Non-member___________________________________      @ $10.00 each      $__________

Number of Saturday Dinner Reservations_________________________     @ $28.00 each      $__________

     Dinner preferences:    ( ) Lemon Chicken
        ( ) Flounder Roulade
        ( ) Roast Beef au jus
        ( ) Vegetarian Platter


Buffet Lunch on Friday Prior to Auction___________________________    @ $7.00 each       $__________

Pour your own piece of glass during the factory tour ___________________@  $5.00 each      $__________
(Because of time constraints this is available to the first 55 people to pay)

                                Your Total Due:         $__________


PLEASE SEND TO:   

        Arlene Johnson
        1113 Birchwood Drive, Garland, TX 75043-5012
        1-972-279-7171 

        Email:  

QUESTIONS:     As above or Mollie Rabin, 1-856-451-4857 • Email: 

 
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