Convention Registration Form

IAMPETH Convention
Kansas City, Missouri
July 9-15, 2007

-- Online Registration Form --

Use this form if you are paying your fees with PayPal.
If you want to send a check, use the snail mail form instead.
•
If you are NOT attending the Convention, and
only want to pay your dues, please Click Here
•
You must submit a separate Registration
form for each person attending.

Use the Tab key or your mouse to navigate through the form, not the Enter key.

No refunds for cancellations made after June 23, 2007

First Name
Last Name
Address
Address
Address
City
State/Province
Postal Code
Country/Region
Phone
Fax
Email Address
Website

This is a New Membership Renewal
I am a Full-time Student Senior Neither
The Penman's Journal: I will view it online Mail it to me
(The online PDF version is in color, the hard copy is black & white)

Yes No I would like my phone number listed in the Membership Directory
Yes No I would like my email address listed in the Membership Directory
Yes No This is my first IAMPETH Convention

If you are a new member, how did you hear about IAMPETH?
Friend Internet Other (describe)

To better serve our membership, please let us know your interests:
(Check all that apply)

Broadpen Lettering Engrossing Ornamental Script Illumination Cursive Handwriting Copperplate Spencerian Gilding Offhand Flourishing

I will be traveling by: Air Train Car Bus

Arrival Date Departure Date

Yes No I will be staying at the Holiday Inn at the Plaza

My hotel reservation

I will be rooming with

If rooming with an IAMPETH Member, please list their name

Yes No I will attend the Field Trip to the Arabia Museum
Number of persons attending the Field Trip

Yes No I want to order a Group Photo (to be taken Thursday evening)
Number of Group Photos

Yes No I will attend the Banquet Dinner
Number of persons attending the Banquet Dinner

BANQUET MEAL SELECTION

Grilled Filet of Beef: with Herb Roasted Fingerling Potatoes, Fresh Sautéed Vegetables and Red Wine Reduction
Pan Seared Salmon: with Wild Mushroom Ragou and Sweet Corn Puree
Rum Glazed Pork Loin: with Puree of Sweet Potato and Fresh Sautéed Vegetables
Vegetarian Entree: Grilled Vegetable Pasta Primavera served with Fresh Garlic Bread Sticks and Parmesan Cheese

Select your Banquet Meal

Special dietary needs?

Use the space below to add any
comments or special instructions:

Workshop Selection

Workshops will be taking place in two separate rooms. Please choose the workshop you wish to attend for each session.

Review your selections carefully,
then click the Submit button.

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