Boskone 36 Order Form

Boskone 36 Pre-registration until Jan. 15, 1999

____ memberships at $35.00 _____

____ banquet tickets at $30.00 _____

Total _____

The above prices include all applicable taxes. Payment must accompany order. We accept checks, money orders, Visa and MasterCard. Please don't mail cash.

I am paying $____ by: __check/money order __Visa __MasterCard

Credit Card # ___________________________ Exp. Date:___________

Name on card:_______________________________________________

Signature:__________________________________________________

Name(s):___________________________________________________
(Please attach additional membership names and addresses on separate sheet)

Address:___________________________________________________

City:____________________ State:_____ Zip/Postal Code:__________

Country:_________________ Email Address:_____________________

Please send me information about:

__Volunteering __ Art Show __ Dealers' Room __Joining NESFA

(Please attach any additional memberships and addresses. Thank you!)

Mail to: Boskone 36, PO Box 809, Framingham, MA 01701

Fax to: (617) 776-3243 (only Visa and MasterCard on Fax orders)


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